Individual provider Active NPI

Phuong-Lien Thi Ngo-Nguyen, RN

  • Registered Nurse
  • San Diego, CA
National Provider Identifier
1568627560
Registry record updated Jul 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN264867 Issued in CA
Practice address
15141 Palomino Mesa Rd
San Diego, CA 92127-4429
Phone
(858) 673-0877
NPI assigned
Jul 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN264867 CA Primary

Addresses

Primary practice location

15141 Palomino Mesa Rd
San Diego, CA 92127-4429

Mailing address

15141 Palomino Mesa Rd
San Diego, CA 92127-4429
Phone (858) 673-0877

Other names 1

  • Phuong-Lien Thi Ngo Former name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN264867CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1216512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216512000000",
    "number": "1568627560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15141 PALOMINO MESA RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921274429",
            "telephone_number": "858-673-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15141 PALOMINO MESA RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921274429",
            "telephone_number": "858-673-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO-NGUYEN",
        "first_name": "PHUONG-LIEN",
        "middle_name": "THI",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-20",
        "last_updated": "2008-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN264867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHUONG-LIEN",
            "last_name": "NGO",
            "middle_name": "THI",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2008; 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.