Individual provider Active NPI

Huyen Thi Mai Nguyen

  • Physician Assistant
  • Torrance, CA
National Provider Identifier
1265191209
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
60753 Issued in CA
Practice address
1907 Border Ave
Torrance, CA 90501-3606
Phone
(844) 443-6246
Fax
(833) 907-2235
NPI assigned
Dec 16, 2021
Last updated
Jan 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 60753 CA Primary
Physician Assistant 363A00000X 027682 NY

Addresses

Primary practice location

1907 Border Ave
Torrance, CA 90501-3606

Mailing address

1373 N Hurricane Ave
Colton, CA 92324-6224
Phone (909) 647-6301

Other practice location 1

1373 N Hurricane Ave
Colton, CA 92324-6224
Phone (909) 647-6301

Other practice location 2

2101 N Waterman Ave
San Bernardino, CA 92404-4836
Phone (909) 883-8711

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL phone Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220421002302 CA Practitioner - Physician Assistant 4789071713 Reassigns benefits to 3 organizations
I20251007002537 NY Practitioner - Physician Assistant 4789071713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

650 California St FL
Suite 7
San Francisco, CA 94108-2737

685 3Rd Ave
FL 9
New York, NY 10017-8401

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60753CAMDPhysician Assistant
027682NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California CurrentSince Aug 8, 2022 Accepting new patients
Cep America-California CurrentSince Mar 21, 2022 Accepting new patients
Mobile Medical Healthcare, P.C. Single Specialty CurrentSince Sep 1, 2025 Accepting new patients
Carlos a. Smith, M.D, Professional Corporation Single Specialty CurrentSince Sep 1, 2025 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

1907 Border Ave
Torrance, CA 90501
Phone (585) 278-0502

156 1st St
Mineola, NY 11501
Phone (516) 741-4082

35 W 35th St
Fl 4
New York, NY 10001
Phone (844) 553-6246

685 3rd Ave
Fl 9
New York, NY 10017
Phone (212) 273-9770

Interoperability endpoints

  • Direct secure messaging: huyen.nguyen.1@24989.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1265191209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1373 N HURRICANE AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923246224",
            "telephone_number": "909-647-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 BORDER AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905013606",
            "telephone_number": "844-443-6246",
            "fax_number": "833-907-2235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1373 N Hurricane Ave",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923246224",
            "country_code": "US",
            "telephone_number": "909-647-6301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2101 N Waterman Ave",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924044836",
            "country_code": "US",
            "telephone_number": "909-883-8711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HUYEN",
        "middle_name": "THI MAI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-16",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "60753",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "027682",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "phone",
            "affiliation": "N",
            "endpointDescription": "hpi exchange",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2101 N Waterman Ave",
            "city": "San Bernardino",
            "state": "CA",
            "country_code": "US",
            "postal_code": "924044836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.