Individual provider Active NPI

Adam Duy Nguyen, PA

  • Physician Assistant
  • Santa Ana, CA
National Provider Identifier
1336917285
Registry record updated Jan 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA64079 Issued in CA
Practice address
1530 E Edinger Ave Ste 1
Santa Ana, CA 92705-4915
Phone
(714) 442-0600
NPI assigned
Dec 19, 2023
Last updated
Jan 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA64079 CA Primary

Addresses

Primary practice location

1530 E Edinger Ave Ste 1
Santa Ana, CA 92705-4915

Mailing address

213 N Flower St
Orange, CA 92868-2328
Phone (714) 603-2313

Other practice location 1

8970 Knott Ave
Buena Park, CA 90620-4137
Phone (949) 760-9222

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

LicenseStateTypeSpecialty
PA64079CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Marque Medical Clinic, Inc. Past Accepting new patients
Marque Medical Clinic, Inc. PastSince Mar 22, 2020 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": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768608000000",
    "number": "1336917285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 N FLOWER ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682328",
            "telephone_number": "714-603-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 E EDINGER AVE STE 1",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054915",
            "telephone_number": "714-442-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8970 Knott Ave",
            "address_purpose": "LOCATION",
            "city": "Buena Park",
            "state": "CA",
            "postal_code": "906204137",
            "country_code": "US",
            "telephone_number": "949-760-9222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ADAM",
        "middle_name": "DUY",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-19",
        "last_updated": "2026-01-17",
        "certification_date": "2026-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA64079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2026; 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.