Individual provider Active NPI

Vien-Phuong Nini Nguyen Mai, DACM

  • Acupuncturist
  • New York, NY
National Provider Identifier
1518295229
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
13365 Issued in CA
Practice address
126 5TH Ave Suite 10B
New York, NY 10011
Phone
(212) 945-7300
Fax
(646) 844-7288
NPI assigned
Nov 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 13365 CA Primary

Addresses

Primary practice location

126 5TH Ave Suite 10B
New York, NY 10011

Mailing address

126 5TH Ave Suite 10B
New York, NY 10011
Phone (212) 945-7300

Other practice location 1

11965 Venice Blvd
Suite 207
Los Angeles, CA 90066-3954
Phone (310) 571-8624

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

State licenses

LicenseStateTypeSpecialty
13365CAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Health and Wellness Acupuncturist CurrentSince Dec 14, 2025 Accepting new patients

Locations

126 5th Ave
Rm 10B
New York, NY 10011
Phone (212) 945-7300

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.

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1518295229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 5TH AVE SUITE 10B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10011",
            "telephone_number": "212-945-7300",
            "fax_number": "646-844-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 5TH AVE SUITE 10B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10011",
            "telephone_number": "212-945-7300",
            "fax_number": "646-844-7288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11965 Venice Blvd",
            "address_2": "Suite 207",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900663954",
            "country_code": "US",
            "telephone_number": "310-571-8624",
            "fax_number": "310-691-8073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAI",
        "first_name": "VIEN-PHUONG NINI",
        "middle_name": "NGUYEN",
        "credential": "DACM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-19",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "13365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.