Active NPI
Vivian Thanh Nguyen, P.A.
- Medical Physician Assistant
- Ventura, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA23248
- Practice address
- 200 S Wells Rd
Ventura, CA 93004-1377 - Phone
- (805) 659-1740
- NPI assigned
- Sep 23, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA23248 | CA | Primary |
| Surgical Physician Assistant | 363AS0400X | PA23248 | CA |
Addresses
Primary practice location
200 S Wells Rd
Ventura, CA 93004-1377
Mailing address
200 S Wells Rd
Ventura, CA 93004-1377
Phone (805) 659-1740
Other practice location 1
300 Hillmont Ave Ste 401
Ventura, CA 93003-1651
Phone (805) 652-6201
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vivian.nguyen@ventura.cernerdirect.com | Direct |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131121001846 | CA | Practitioner - Physician Assistant | 0143456145 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Hillmont Ave
Ventura, CA 93003-1651
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.02 of 100
- Quality
- 64.51
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA23248 | CA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Ventura | Current | Accepting new patients | |
| County of Ventura | Current | Accepting new patients | |
| Clinicas del Camino Real Inc | Current | Accepting new patients | |
| County of Ventura | Current | Accepting new patients | |
| County of Ventura | Current | Accepting new patients | |
| Clinicas del Camino Real Inc | Current | Accepting new patients |
Locations
355 Central Ave
Fillmore, CA 93015
Phone (805) 524-4926
1200 Maricopa Hwy
Ojai, CA 93023
Phone (805) 640-8293
650 Meta St
Oxnard, CA 93030
Phone (805) 487-5351
500 E Main St
Santa Paula, CA 93060
Phone (805) 933-0895
800 S Victoria Ave
#L4640
Ventura, CA 93009
300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000
300 Hillmont Ave
Ste 401
Ventura, CA 93003
Phone (805) 648-9830
200 S Wells Rd
Ventura, CA 93004
Phone (805) 647-6322
2189 Eastman Ave
Ventura, CA 93003
Phone (805) 639-2600
300 Hillmont Ave
Bldg 340
Ventura, CA 93003
Phone (805) 652-6100
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/8cf1bb66-7b18-4eaa-b641-538f19feb923/
Organizations & group practices 7
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.
-
- Community Health Clinic/Center
- Oxnard, CA
- NPI 1235866138
-
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1427276278
-
- Community/Behavioral Health Agency
- Oxnard, CA
- NPI 1003509852
-
- Federally Qualified Health Center (FQHC)
- Thousand Oaks, CA
- NPI 1316188253
-
- Community/Behavioral Health Agency
- Simi Valley, CA
- NPI 1609098243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1457787467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S WELLS RD",
"city": "VENTURA",
"state": "CA",
"postal_code": "930041377",
"telephone_number": "805-659-1740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S WELLS RD",
"city": "VENTURA",
"state": "CA",
"postal_code": "930041377",
"telephone_number": "805-659-1740"
}
],
"practiceLocations": [
{
"address_1": "300 Hillmont Ave Ste 401",
"address_purpose": "LOCATION",
"city": "Ventura",
"state": "CA",
"postal_code": "930031651",
"country_code": "US",
"telephone_number": "805-652-6201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "VIVIAN",
"middle_name": "THANH",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-23",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA23248",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA23248",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vivian.nguyen@ventura.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "Cerner Direct Secure Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Information",
"address_1": "300 Hillmont Ave Ste 401",
"city": "Ventura",
"state": "CA",
"country_code": "US",
"postal_code": "930031651",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.