Ann Marie Nguyen, ND, LAC

Primary specialty

NaturopathTaxonomy code 175F00000X

License

ND-349 Issued in CA

Practice address

390 N Pacific Coast Hwy Ste 1140
El Segundo, CA 90245-4476

Phone

(310) 926-4415

NPI assigned

May 6, 2009

Last updated

Oct 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cynthia Kodama, Inc

  • Clinic/Center
  • Santa Monica, CA
  • NPI 1003231101
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1245464106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 N PACIFIC COAST HWY STE 1140",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454476",
            "telephone_number": "310-926-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 N PACIFIC COAST HWY STE 1140",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454476",
            "telephone_number": "310-926-4415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2104 Wilshire Blvd",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904035704",
            "country_code": "US",
            "telephone_number": "310-828-8258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ANN MARIE",
        "name_prefix": "Dr.",
        "credential": "ND, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC12983",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND-349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alpha Nguyen
• Amanda M Nguyen
• Amy Nguyen
• Anh T Nguyen
• Anh Thy Nguyen
• Bao-Tam Nguyen
• Branden Nguyen
• Brian Nguyen
• Brian Van Nguyen
• Chinh Nguyen

• Naturopath in El Segundo, CA
• Providers in El Segundo, CA by specialty
• Naturopath in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.