Individual provider Active NPI

Amy Nguyen

  • Physician Assistant
  • Laguna Hills, CA
National Provider Identifier
1265022438
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
59827 Issued in CA
Practice address
24012 Calle de la Plata Ste 150
Laguna Hills, CA 92653-3632
Phone
(949) 588-7246
NPI assigned
Jan 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 59827 CA Primary

Addresses

Primary practice location

24012 Calle de la Plata Ste 150
Laguna Hills, CA 92653-3632

Mailing address

24012 Calle de la Plata Ste 150
Laguna Hills, CA 92653-3632
Phone (949) 588-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211025001637 CA Practitioner - Physician Assistant 0749678753 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
59827CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Algos Inc., a Medical Corporation CurrentSince Sep 28, 2021 Accepting new patients
Algos Inc., a Medical Corporation CurrentSince Sep 28, 2021 Accepting new patients

Locations

100 N State College Blvd
Ste H
Fullerton, CA 92831
Phone (714) 824-6565

1017 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 403-6200

1125 E 17th St
Ste N452
Santa Ana, CA 92701
Phone (714) 597-7214

Interoperability endpoints

  • Direct secure messaging: amy.nguyen.p44@direct.omnieyeatlanta.nextgenshare.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1265022438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24012 CALLE DE LA PLATA STE 150",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533632",
            "telephone_number": "949-588-7246",
            "fax_number": "866-829-7143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24012 CALLE DE LA PLATA STE 150",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533632",
            "telephone_number": "949-588-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "59827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.