Individual provider Active NPI

Mary Hanh Nguyen

  • Family Nurse Practitioner
  • Westminster, CA
National Provider Identifier
1336512102
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95000112 Issued in CA
Practice address
14501 Magnolia St Ste 108
Westminster, CA 92683-1307
Phone
(714) 799-7731
NPI assigned
Nov 2, 2015
Last updated
Sep 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95000112 CA Primary

Addresses

Primary practice location

14501 Magnolia St Ste 108
Westminster, CA 92683-1307

Mailing address

10651 Linnell Ave
Garden Grove, CA 92843-3318
Phone (714) 352-9282

Other names 1

  • Mary Hanh Pham Former name

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

LicenseStateTypeSpecialty
95000112CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Loi Luu, M.D., Inc. PastSince Mar 16, 2012 Accepting new patients
Loi Luu, MD Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1336512102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10651 LINNELL AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928433318",
            "telephone_number": "714-352-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14501 MAGNOLIA ST STE 108",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926831307",
            "telephone_number": "714-799-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MARY",
        "middle_name": "HANH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-02",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95000112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "PHAM",
            "middle_name": "HANH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.