Active NPI
Catherine Nguyen Taosuvanna, MPAS, PA-C
- Physician Assistant
- Fullerton, CA
National Provider Identifier
1558630442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA21423
- Practice address
- 100 E Valencia Mesa Dr
Suite #310
Fullerton, CA 92835-3813 - Phone
- (714) 446-5200
- Fax
- (714) 446-5181
- NPI assigned
- Dec 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA21423 | CA | |
| Medical Physician Assistant | 363AM0700X | PA21423 | CA | |
| Physician Assistant | 363A00000X | PA21423 | CA | Primary |
Addresses
Primary practice location
100 E Valencia Mesa Dr
Suite #310
Fullerton, CA 92835-3813
Mailing address
200 W Center Street Promenade Ste 300
Anaheim, CA 92805-3960
Phone (714) 449-4841
Other names 1
- Catherine Nguyen
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7004
Hospital & facility affiliations
- Uci Health-Orange
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21423 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California Irvine | Past | Accepting new patients | |
| Carondelet Health Network | Past | Accepting new patients | |
| St Jude Hospital Inc | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Neurological Surgery Physician
- Orange, CA
- NPI 1659329746
-
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
-
- Infusion Therapy Clinic/Center
- Irvine, CA
- NPI 1417027475
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1396835138
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511136000000",
"number": "1558630442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W CENTER STREET PROMENADE STE 300",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928053960",
"telephone_number": "714-449-4841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E VALENCIA MESA DR",
"address_2": "SUITE #310",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353813",
"telephone_number": "714-446-5200",
"fax_number": "714-446-5181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAOSUVANNA",
"first_name": "CATHERINE",
"middle_name": "NGUYEN",
"credential": "MPAS, PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-21",
"last_updated": "2017-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA21423",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA21423",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA21423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CATHERINE",
"last_name": "NGUYEN",
"credential": "MPAS, PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.