Individual provider Active NPI

Heather Dayna Nguyen, NP-C

  • Gerontology Nurse Practitioner
  • Huntington Beach, CA
National Provider Identifier
1497125447
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
95003406 Issued in CA
Practice address
19066 Magnolia St
Huntington Beach, CA 92646-2232
Phone
(714) 968-0068
NPI assigned
Oct 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 737953 CA
Gerontology Nurse Practitioner 363LG0600X 95003406 CA Primary

Addresses

Primary practice location

19066 Magnolia St
Huntington Beach, CA 92646-2232

Mailing address

19066 Magnolia St
Huntington Beach, CA 92646-2232
Phone (714) 968-0068

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
I20160125001065 CA Practitioner - Nurse Practitioner 4082917109 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Robert West MD IncGroup PAC ID 8729990973, 141 clinicians

Practice addresses (Care Compare)

4244 Riverwalk Pkwy
Suite 170
Riverside, CA 92505-3373
Phone (951) 736-7432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
737953CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Jun 13, 2016 Accepting new patients
J Robert West, M.D., Inc CurrentSince May 13, 2024 Accepting new patients
First Oc Dermatology PC CurrentSince Aug 19, 2023 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jun 13, 2016 Accepting new patients
Tony N. Nakhla, D.O., Inc. CurrentSince Oct 11, 2023 Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Silverberg MD a Professional Corporation PastSince Jun 21, 2009 Accepting new patients
J. Robert West, M.D., Inc Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

17271 Brookhurst St
Fountain Vly, CA 92708
Phone (714) 531-2966

19066 Magnolia St
Huntington Beach, CA 92646
Phone (714) 378-2225

17305 Von Karman Ave
Ste 107
Irvine, CA 92614
Phone (949) 478-2230

24541 Pacific Park Dr
Ste 103
Laguna Hills, CA 92656
Phone (949) 831-3057

30201 Golden Lantern
Ste B
Laguna Niguel, CA 92677
Phone (949) 363-1788

1441 Avocado Ave
Ste 607
Newport Beach, CA 92660
Phone (949) 640-9633

1401 Avocado Ave
Ste 703
Newport Beach, CA 92660
Phone (949) 751-6683

1441 Avocado Ave
Ste 806
Newport Beach, CA 92660
Phone (949) 718-1222

1401 Avocado Ave
Ste 806
Newport Beach, CA 92660
Phone (714) 308-5687

400 Newport Center Dr
Ste 702
Newport Beach, CA 92660
Phone (949) 644-0101

601 Torrance Blvd
#1182
Redondo Beach, CA 90277

4244 Riverwalk Pkwy
Ste 170
Riverside, CA 92505
Phone (951) 736-7432

800 N Tustin Ave
Ste G
Santa Ana, CA 92705
Phone (714) 547-6111

12700 Park Central Dr
Ste 1210
Dallas, TX 75251
Phone (702) 360-2763

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 8

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": "1443830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1497125447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19066 MAGNOLIA ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926462232",
            "telephone_number": "714-968-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19066 MAGNOLIA ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926462232",
            "telephone_number": "714-968-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HEATHER",
        "middle_name": "DAYNA",
        "name_prefix": "Miss",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-03",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "737953",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95003406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.