Active NPI
Myduyen Nguyen, MD
- Pediatrics Physician
- Fountain Valley, CA
National Provider Identifier
1316939481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A77427
- Practice address
- 17100 Euclid St
Dept. Picu
Fountain Valley, CA 92708-4004 - Phone
- (714) 966-7253
- Fax
- (714) 966-3354
- NPI assigned
- Aug 16, 2005
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A77427 | CA | Primary |
Addresses
Primary practice location
17100 Euclid St
Dept. Picu
Fountain Valley, CA 92708-4004
Mailing address
17100 Euclid St
Dept. Picu
Fountain Valley, CA 92708-4004
Phone (714) 966-7253
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A77427 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186358400000",
"number": "1316939481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17100 EUCLID ST",
"address_2": "DEPT. PICU",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084004",
"telephone_number": "714-966-7253",
"fax_number": "714-966-3354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17100 EUCLID ST",
"address_2": "DEPT. PICU",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084004",
"telephone_number": "714-966-7253",
"fax_number": "714-966-3354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "MYDUYEN",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-16",
"last_updated": "2007-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A77427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.