Active NPI
Garden Grove Women's Health Specialists, Inc.
- Obstetrics & Gynecology Physician
- Garden Grove, CA
National Provider Identifier
1396960563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 20A7161
- Legal business name
- GARDEN GROVE WOMEN'S HEALTH SPECIALISTS, INC.
- Practice address
- 12555 Garden Grove Blvd Ste 301
Garden Grove, CA 92843-1903 - Phone
- (714) 741-0501
- Fax
- (714) 741-0095
- NPI assigned
- Apr 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Phu Nguyen, D.O.
- Title
- President
- Phone
- (714) 741-0501
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 20A7161 | CA | Primary |
Addresses
Primary practice location
12555 Garden Grove Blvd Ste 301
Garden Grove, CA 92843-1903
Mailing address
12555 Garden Grove Blvd Ste 301
Garden Grove, CA 92843-1903
Phone (714) 741-0501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00AX71610 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
12555 Garden Grove Blvd
Ste 301
Garden Grove, CA 92843
Phone (714) 741-0501
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Garden Grove, CA
- NPI 1386642866
-
- Internal Medicine Physician
- Garden Grove, CA
- NPI 1780682401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412208000000",
"number": "1396960563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12555 GARDEN GROVE BLVD STE 301",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928431903",
"telephone_number": "714-741-0501",
"fax_number": "714-741-0095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12555 GARDEN GROVE BLVD STE 301",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928431903",
"telephone_number": "714-741-0501",
"fax_number": "714-741-0095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARDEN GROVE WOMEN'S HEALTH SPECIALISTS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-14",
"last_updated": "2014-10-02",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "PHU",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-741-0501",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "20A7161",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00AX71610",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.