Individual provider Active NPI

Vanessa Tiffany Nguyen, FNP

  • Family Nurse Practitioner
  • Temecula, CA
National Provider Identifier
1376219246
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95025402 Issued in CA
Practice address
44045 Margarita Rd Ste 106
Temecula, CA 92592-2729
Phone
(951) 462-4624
Fax
(951) 462-4625
NPI assigned
Aug 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 263318 AZ
Student in an Organized Health Care Education/Training Program 390200000X
Family Nurse Practitioner 363LF0000X NP95025402 CA Primary

Addresses

Primary practice location

44045 Margarita Rd Ste 106
Temecula, CA 92592-2729

Mailing address

44045 Margarita Rd Ste 106
Temecula, CA 92592-2729
Phone (951) 462-4624

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
I20230919000469 CA Practitioner - Nurse Practitioner 2860883154 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95025402CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosin PLLC Single Specialty CurrentSince Aug 1, 2021 Accepting new patients
The Neuron Clinic GP Single Specialty CurrentSince Oct 1, 2023 Accepting new patients
Center for Neurohealth, Inc. Single Specialty PastSince Oct 18, 2024 Accepting new patients

Locations

3507 S Mercy Rd
Ste 101
Gilbert, AZ 85297
Phone (480) 926-0644

450 Fourth Ave
Ste 215
Chula Vista, CA 91910
Phone (512) 375-3210

892 E Madison Ave
El Cajon, CA 92020
Phone (619) 737-1117

25186 Hancock Ave
Ste 110
Murrieta, CA 92562
Phone (951) 888-3323

1401 N Palm Canyon Dr
Ste 103
Palm Springs, CA 92262
Phone (760) 320-3538

838 Nordahl Rd
Ste 200
San Marcos, CA 92069
Phone (619) 425-3840

44045 Margarita Rd
Ste 106
Temecula, CA 92592
Phone (951) 462-4624

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: vanessa.nguyen.1@24703.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24703/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1376219246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44045 MARGARITA RD STE 106",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922729",
            "telephone_number": "951-462-4624",
            "fax_number": "951-462-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44045 MARGARITA RD STE 106",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922729",
            "telephone_number": "951-462-4624",
            "fax_number": "951-462-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VANESSA",
        "middle_name": "TIFFANY",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "263318",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95025402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.