Individual provider Active NPI

Christan Lam Nguyen, M.A.

  • Marriage & Family Therapist
  • Santa Ana, CA
National Provider Identifier
1316370265
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
108067 Issued in CA
Practice address
2900 S Harbor Blvd
Suite 220
Santa Ana, CA 92704-6418
Phone
(562) 431-5100
Fax
(562) 431-3560
NPI assigned
Aug 14, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 108067 CA Primary

Addresses

Primary practice location

2900 S Harbor Blvd
Suite 220
Santa Ana, CA 92704-6418

Mailing address

2900 S Harbor Blvd
Suite 220
Santa Ana, CA 92704-6418
Phone (562) 431-5100

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
I20240830002890 CA Practitioner - Marriage and Family Therapist 8022557230 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
108067CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
W Group Marriage and Family Counseling, Corp Marriage & Family Therapist CurrentSince Jul 2, 2024 Accepting new patients

Locations

16052 Beach Blvd
Ste 214
Huntington Beach, CA 92647
Phone (714) 544-9466

3711 Long Beach Blvd
Ste 4001
Long Beach, CA 90807
Phone (949) 424-3218

3711 Long Beach Blvd
Ste 4094
Long Beach, CA 90807

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.

NPI Registry JSON

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1316370265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 S HARBOR BLVD",
            "address_2": "SUITE 220",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046418",
            "telephone_number": "562-431-5100",
            "fax_number": "562-431-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S HARBOR BLVD",
            "address_2": "SUITE 220",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046418",
            "telephone_number": "562-431-5100",
            "fax_number": "562-431-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CHRISTAN",
        "middle_name": "LAM",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-14",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "108067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.