Individual provider Active NPI

Randy Nguyen

  • Marriage & Family Therapist
  • Indio, CA
National Provider Identifier
1467019497
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
81557 Dr Carreon Blvd Ste C9
Indio, CA 92201-5562
Phone
(760) 391-6999
NPI assigned
May 24, 2019
Last updated
Mar 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary
Student in an Organized Health Care Education/Training Program 390200000X NU
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

81557 Dr Carreon Blvd Ste C9
Indio, CA 92201-5562

Mailing address

1325 Quince St
Beaumont, CA 92223-8452
Phone (909) 761-7855

Other practice location 1

340 Ca-138
Crestline, CA 92325
Phone (909) 336-3330

Other practice location 2

755 W Hoffer St
Banning, CA 92220-2348
Phone (951) 922-0356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Behavioral Health, Inc. PastSince Mar 17, 2024 Accepting new patients
Plan-It Life, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1467019497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 QUINCE ST",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922238452",
            "telephone_number": "909-761-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81557 DR CARREON BLVD STE C9",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015562",
            "telephone_number": "760-391-6999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 CA-138",
            "address_purpose": "LOCATION",
            "city": "Crestline",
            "state": "CA",
            "postal_code": "92325",
            "country_code": "US",
            "telephone_number": "909-336-3330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "755 W Hoffer St",
            "address_purpose": "LOCATION",
            "city": "Banning",
            "state": "CA",
            "postal_code": "922202348",
            "country_code": "US",
            "telephone_number": "951-922-0356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "RANDY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-24",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.