Active NPI
Diana Thao Nguyen
- Physician Assistant
- Arcadia, CA
National Provider Identifier
1295423564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA64463
- Practice address
- 289 W Huntington Dr Ste 204
Arcadia, CA 91007-3492 - Phone
- (833) 287-3631
- NPI assigned
- Apr 25, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA64463 | CA | Primary |
Addresses
Primary practice location
289 W Huntington Dr Ste 204
Arcadia, CA 91007-3492
Mailing address
1353 Ballista Ave
La Puente, CA 91744-1609
Phone (626) 346-6108
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251023002573 | CA | Order and Referring Only - Family Practice | 5395233027 |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
File Number
Suite 54701
Los Angeles, CA 90074-4701
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA64463 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cure Medicalcare PC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FDHDCD
- https://fhir4.healow.com/fhir/r4/FDHDCD/Endpoint/FDHDCD
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Arcadia, CA
- NPI 1528653367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1295423564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1353 BALLISTA AVE",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "917441609",
"telephone_number": "626-346-6108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "289 W HUNTINGTON DR STE 204",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910073492",
"telephone_number": "833-287-3631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "DIANA",
"middle_name": "THAO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-25",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA64463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.