Individual provider Active NPI

Christopher Van Nguyen, PA

  • Physician Assistant
  • Taylor, TX
National Provider Identifier
1265027213
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA19495 Issued in TX
Practice address
305 Mallard LN
Taylor, TX 76574-1208
Phone
(512) 352-7611
Fax
(512) 352-4734
NPI assigned
Mar 2, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA19495 TX Primary
Physician Assistant 363A00000X MPA.3891PA SC
Medical Physician Assistant 363AM0700X MA062514 PA
Physician Assistant 363A00000X MA062514 PA

Addresses

Primary practice location

305 Mallard LN
Taylor, TX 76574-1208

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371

Other practice location 1

3369 State Route 100
Macungie, PA 18062-1806
Phone (610) 402-8111

Other practice location 2

800 W Meeting St
Lancaster, SC 29720-2202
Phone (803) 286-1214

Other identifiers 1

IdentifierTypeStateIssuer
0781410MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cnguyen1535575@direct.sw.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, PA, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210525002948 SC Practitioner - Physician Assistant 2163821026 Reassigns benefits to 1 organization
I20210621000042 PA Practitioner - Physician Assistant 2163821026 Reassigns benefits to 3 organizations
I20260603002546 TX Practitioner - Physician Assistant 2163821026 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

3369 State Route 100
LVH Hospitalist PGRM
Macungie, PA 18062-9613
Phone (610) 402-8111

3371 State Route 100
LVPG Orthopedics and Sports Medicine Macu
Macungie, PA 18062-9613
Phone (610) 402-8900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MPA.3891PASCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Family Care, Inc CurrentSince May 13, 2021 Accepting new patients
Lehigh Valley Physician Group CurrentSince Dec 9, 2024 Accepting new patients
Atlantic Physician Services of Maryland, PC Physician Assistant CurrentSince Jun 1, 2021 Accepting new patients
Carolina Family Care, Inc CurrentSince May 13, 2021 Accepting new patients
Lehigh Valley Physician Group CurrentSince Dec 9, 2024 Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711

3369 Route 100
Macungie, PA 18062
Phone (484) 232-6863

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

800 W Meeting St
Lancaster, SC 29720
Phone (803) 286-1214

1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1265027213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "800-994-0371",
            "fax_number": "254-215-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MALLARD LN",
            "city": "TAYLOR",
            "state": "TX",
            "postal_code": "765741208",
            "telephone_number": "512-352-7611",
            "fax_number": "512-352-4734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3369 State Route 100",
            "address_purpose": "LOCATION",
            "city": "Macungie",
            "state": "PA",
            "postal_code": "180621806",
            "country_code": "US",
            "telephone_number": "610-402-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 W Meeting St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "SC",
            "postal_code": "297202202",
            "country_code": "US",
            "telephone_number": "803-286-1214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "VAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-02",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA19495",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "MPA.3891PA",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA062514",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA062514",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0781410",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cnguyen1535575@direct.sw.org",
            "affiliation": "N",
            "endpointDescription": "cnguyen1535575@direct.sw.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "305 Mallard Ln",
            "city": "Taylor",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765741208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Taylor, TX

Sources for this page

Verify at the official NPI Registry.