Active NPI
Michelle Quynhnhu Ngoc Nguyen, PA-C
- Physician Assistant
- Scottsdale, AZ
National Provider Identifier
1467737338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 7444
- Practice address
- 9328 E Raintree Dr
Scottsdale, AZ 85260-2098 - Phone
- (602) 266-8463
- NPI assigned
- Oct 11, 2011
- 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 Technologist | 246QM0706X | MTA 00043395 | CA | |
| Physician Assistant | 363A00000X | 7444 | AZ | Primary |
Addresses
Primary practice location
9328 E Raintree Dr
Scottsdale, AZ 85260-2098
Mailing address
2207 E Beachcomber Dr
Gilbert, AZ 85234-2879
Phone (480) 246-7649
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MTA 00043395 | CA | MD | Medical Technologist |
Organizations & group practices 1
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.
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- Scottsdale, AZ
- NPI 1740294420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565222400000",
"number": "1467737338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2207 E BEACHCOMBER DR",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342879",
"telephone_number": "480-246-7649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9328 E RAINTREE DR",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852602098",
"telephone_number": "602-266-8463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "MICHELLE QUYNHNHU",
"middle_name": "NGOC",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-11",
"last_updated": "2019-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "246QM0706X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Medical Technologist",
"state": "CA",
"license": "MTA 00043395",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "7444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.