Active NPI
Tuyet-Khanh Kim Nguyen, PA
- Physician Assistant
- Corona, CA
National Provider Identifier
1316221567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA21225
- Practice address
- 2899 La Vista Ave
Corona, CA 92879 - Phone
- (951) 515-2851
- NPI assigned
- Oct 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | PA21225 | CA | Primary |
Addresses
Primary practice location
2899 La Vista Ave
Corona, CA 92879
Mailing address
2899 La Vista Ave
Corona, CA 92879
Phone (951) 515-2851
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA21225 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317859200000",
"number": "1316221567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2899 LA VISTA AVE",
"city": "CORONA",
"state": "CA",
"postal_code": "92879",
"telephone_number": "951-515-2851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2899 LA VISTA AVE",
"city": "CORONA",
"state": "CA",
"postal_code": "92879",
"telephone_number": "951-515-2851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "TUYET-KHANH",
"middle_name": "KIM",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-06",
"last_updated": "2011-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA21225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.