Individual provider Active NPI

Darryl Nguyen

  • Marriage & Family Therapist
  • Santa Ana, CA
National Provider Identifier
1275013138
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
2001 E 4TH St Ste 116
Santa Ana, CA 92705-3916
Phone
(714) 824-8150
NPI assigned
Aug 20, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

2001 E 4TH St Ste 116
Santa Ana, CA 92705-3916

Mailing address

13202 Hoover St SPC 19
Westminster, CA 92683-2379
Phone (714) 717-9785

Other practice location 1

1207 E Fruit St
Santa Ana, CA 92701-4206
Phone (888) 686-3100

Other practice location 2

501 N Brookhurst St Ste 320
Anaheim, CA 92801-5204
Phone (714) 490-7711

Other practice location 3

13950 Milton Ave Ste 306
Westminster, CA 92683-2939
Phone (714) 793-1290

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240918000330 CA Practitioner - Marriage and Family Therapist 4587105572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3711 Long Beach Blvd
Long Beach, CA 90807-3315
Phone (562) 263-6041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empowered Mind-Body Therapy for Individuals and Family Inc Marriage & Family Therapist CurrentSince Jun 21, 2024 Accepting new patients
Harmony Heals Holistic Counseling Center Marriage & Family Therapist Past Accepting new patients
College Community Services PastSince Dec 22, 2019 Accepting new patients
College Community Services Past Accepting new patients

Locations

3711 Long Beach Blvd
Ste 6041
Long Beach, CA 90807
Phone (562) 263-6041

210 S Orange Grove Blvd
Pasadena, CA 91105
Phone (562) 263-6041

Organizations & group practices 4

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": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1275013138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13202 HOOVER ST SPC 19",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926832379",
            "telephone_number": "714-717-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 E 4TH ST STE 116",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053916",
            "telephone_number": "714-824-8150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1207 E Fruit St",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927014206",
            "country_code": "US",
            "telephone_number": "888-686-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 N Brookhurst St Ste 320",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928015204",
            "country_code": "US",
            "telephone_number": "714-490-7711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13950 Milton Ave Ste 306",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CA",
            "postal_code": "926832939",
            "country_code": "US",
            "telephone_number": "714-793-1290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DARRYL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-20",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.