Mai Phuong Thi Nguyen, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A61956 Issued in CA

Practice address

16027 Brookhurst St # I-110
Fountain Valley, CA 92708-1551

Phone

(844) 527-8620

Fax

(844) 342-5278

NPI assigned

Jul 17, 2006

Last updated

Oct 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25472/brand/1/csg/1/fhir/r4

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.

• Neighborhood Health Systems

  • Multi-Specialty Clinic/Center
  • Riverside, CA
  • NPI 1366857039
  Medicare reassignment NPD
• Karuna Healthcare Consultants, Inc.

  • Internal Medicine Physician
  • Fountain Valley, CA
  • NPI 1376206524
  Authorized official Same address or phone
• Gunnell, M.D., Inc

  • Nephrology Physician
  • Napa, CA
  • NPI 1255376398
  NPD (past)
• Talbert Medical Group, P.C.

  dba Talbert Medical Group

  • Internal Medicine Physician
  • Fountain Valley, CA
  • NPI 1528069176
  NPD (past)
• Veterans Home of California

  • Skilled Nursing Facility
  • Yountville, CA
  • NPI 1104811751
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1265450266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16027 BROOKHURST ST # G110",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081551",
            "telephone_number": "707-225-7031",
            "fax_number": "714-531-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16027 BROOKHURST ST # I-110",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081551",
            "telephone_number": "844-527-8620",
            "fax_number": "844-342-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MAI PHUONG",
        "middle_name": "THI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A61956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A619560",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1265450266",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Nguyen
• Lena B Nguyen, DO
• Linh Dan Nguyen, M.D.
• Loc Nguyen, MD
• Luong Nguyen, D.M.D.
• Mai Thuy Nguyen, PHARM.D
• Maitien T Nguyen, PHARM. D
• Michelle Quynh Nguyen, PHARM.D
• Mickey Nguyen, MD
• Minh Thuoc Thi Nguyen

• Internal Medicine Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.