Wendy Thu Nguyen, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

55852 Issued in CA

Practice address

11942 Paramount Blvd
Downey, CA 90242

Phone

(562) 923-6060

NPI assigned

Jul 2, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Thu Trang Nguyen Other name

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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Integrative Physical Medicine PhysiciansGroup PAC ID 0244645455, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Integrative Physical Medicine Physicians

  dba Integrative Sports and Spine

  • Physical Medicine & Rehabilitation Physician
  • Long Beach, CA
  • NPI 1407486905
  Medicare reassignment Care Compare group
• Ame Medical Group Inc

  • Family Medicine Physician
  • Downey, CA
  • NPI 1861711863
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533945600000",
    "number": "1508249962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 S STATE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900333818",
            "telephone_number": "714-640-3470",
            "fax_number": "714-340-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11942 PARAMOUNT BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "90242",
            "telephone_number": "562-923-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9862 Chapman Ave",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928412726",
            "country_code": "US",
            "telephone_number": "714-640-3470",
            "fax_number": "714-640-3475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "WENDY",
        "middle_name": "THU",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2018-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "55852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT BOARD",
            "identifier": "55852",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THU",
            "last_name": "NGUYEN",
            "middle_name": "TRANG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tri Nguyen, M.D.
• Tuyet Phuong Thi Nguyen, NP
• Victoria T Nguyen, DDS
• Vivi Nguyen, DDS
• Vivian Anhthu Nguyen, PHARM.D,
• Irene Nham
• Nicholas Scott St. George D.D.S., Inc.
• Nicholas Scott St. George, DDS, Inc.
• Jenna Isabella Nichols
• Joi Noreen Nichols

• Medical Physician Assistant in Downey, CA
• Providers in Downey, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2018; 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.

Verify at the official NPI Registry.