Active NPI
Vivian Thao Nguyen
- Behavior Analyst
- Garden Grove, CA
National Provider Identifier
1306494984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 11936391
- Practice address
- 12062 Valley View St Ste 103
Garden Grove, CA 92845-1738 - Phone
- (756) 444-9002
- NPI assigned
- Aug 28, 2019
- Last updated
- Aug 28, 2019
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 11936391 | CO | Primary |
Addresses
Primary practice location
12062 Valley View St Ste 103
Garden Grove, CA 92845-1738
Mailing address
8810 Hewitt PL Apt 28
Garden Grove, CA 92844-2681
Phone (310) 279-6777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11936391 | CO | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566950400000",
"number": "1306494984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8810 HEWITT PL APT 28",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928442681",
"telephone_number": "310-279-6777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12062 VALLEY VIEW ST STE 103",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928451738",
"telephone_number": "756-444-9002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "VIVIAN",
"middle_name": "THAO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-28",
"last_updated": "2019-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CO",
"license": "11936391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.