Jennifer Nam Phuong Nguyen, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95006291 Issued in CA

Practice address

1401 N Tustin Ave Ste 225
Santa Ana, CA 92705-8688

Phone

(949) 435-9130

NPI assigned

Mar 13, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Nurse Practitioner

Education

California University of Science and Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pathways Community Services LLCGroup PAC ID 9830368687, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Pathways Community Services LLC

  • Community/Behavioral Health Agency
  • Fullerton, CA
  • NPI 1881729911
  Medicare reassignment Care Compare group NPD
• Pathways Community Services LLC

  • Community/Behavioral Health Agency
  • Anaheim, CA
  • NPI 1306980974
  NPD
• Pathways Community Services LLC

  • Community/Behavioral Health Agency
  • Tustin, CA
  • NPI 1396436077
  NPD
• College Community Services

  • Community/Behavioral Health Agency
  • Anaheim, CA
  • NPI 1841335692
  NPD (past)

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1518408335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 N TUSTIN AVE STE 225",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058688",
            "telephone_number": "949-435-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N TUSTIN AVE STE 225",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058688",
            "telephone_number": "949-435-9130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "631 S Brookhurst St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928043510",
            "country_code": "US",
            "telephone_number": "714-620-8131",
            "fax_number": "714-620-8132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JENNIFER",
        "middle_name": "NAM PHUONG",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-13",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95006291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huong Thien Nguyen, D.D.S
• Huu Nguyen, M.D.
• Janet Nguyen
• Jasmine T Nguyen
• Jaylene Thien Nguyen, PA-C
• Jennifer Quoc Nguyen, OTR/L
• Jennifer T Nguyen
• Jenny Nguyen
• Jenny Han Nguyen, PHARMD
• Jessica Thanh Nguyen, PHARM,D

• Psychiatric/Mental Health Nurse Practitioner in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.