Individual provider Active NPI

Jennifer Honghanh Nguyen, N.P.

  • Nurse Practitioner
  • Torrance, CA
National Provider Identifier
1366751539
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
687079 Issued in CA
Practice address
19191 S Vermont Ave
Ste 200
Torrance, CA 90502-1018
Phone
(310) 354-4346
Fax
(310) 538-1568
NPI assigned
Oct 5, 2010
Last updated
Nov 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 687079 CA Primary

Addresses

Primary practice location

19191 S Vermont Ave
Ste 200
Torrance, CA 90502-1018

Mailing address

19191 S Vermont Ave
Ste 200
Torrance, CA 90502-1018
Phone (310) 354-4346

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110421000378 CA Practitioner - Nurse Practitioner 1456536200 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Feb 26, 2011 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Feb 26, 2011 Accepting new patients
Memorial Medical Group Inc Past Accepting new patients

Locations

450 E Huntington Dr
Arcadia, CA 91006
Phone (626) 254-2100

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

1025 W Olympic Blvd
Los Angeles, CA 90015
Phone (213) 623-2225

Organizations & group practices 3

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": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1366751539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19191 S VERMONT AVE",
            "address_2": "STE 200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905021018",
            "telephone_number": "310-354-4346",
            "fax_number": "310-538-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19191 S VERMONT AVE",
            "address_2": "STE 200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905021018",
            "telephone_number": "310-354-4346",
            "fax_number": "310-538-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JENNIFER",
        "middle_name": "HONGHANH",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-05",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "687079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.