Individual provider Active NPI

Vivian Thanh Nguyen, P.A.

  • Medical Physician Assistant
  • Ventura, CA
National Provider Identifier
1457787467
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA23248 Issued in CA
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

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
County of VenturaGroup PAC ID 7911810171, 340 clinicians

Practice addresses (Care Compare)

300 Hillmont Ave
Ventura, CA 93003-1651

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
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

LicenseStateTypeSpecialty
PA23248CAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura Current Accepting new patients
County of Ventura CurrentSince Aug 21, 2017 Accepting new patients
Clinicas del Camino Real Inc CurrentSince Oct 14, 2013 Accepting new patients
County of Ventura Current Accepting new patients
County of Ventura CurrentSince Aug 21, 2017 Accepting new patients
Clinicas del Camino Real Inc CurrentSince Oct 14, 2013 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.