Active NPI
Van Nguyen, PA-C
- Physician Assistant
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA063674
- Practice address
- 1420 Locust St
Philadelphia, PA 19102-4223 - Phone
- (215) 800-1909
- NPI assigned
- Jun 29, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA063674 | PA | Primary |
Addresses
Primary practice location
1420 Locust St
Philadelphia, PA 19102-4223
Mailing address
6803 Oakley St
Philadelphia, PA 19111-3914
Phone (267) 265-9443
Other practice location 1
1501 N Broad St
Philadelphia, PA 19122-3319
Phone (267) 457-5553
Other practice location 2
1008 Arch St
Philadelphia, PA 19107-3002
Phone (267) 881-9111
Other practice location 3
3717 Chestnut St
Philadelphia, PA 19104-3164
Phone (215) 921-8294
Other names 1
- Vivienne Nguyen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 E Ridge Pike
Conshohocken, PA 19428-2117
180 W Girard Ave
Suite 108
Philadelphia, PA 19123-1660
Phone (267) 319-8047
2329 Cottman Ave
Philadelphia, PA 19149-1003
Phone (267) 814-2401
3680 Aramingo Ave
Philadelphia, PA 19134-4608
Phone (267) 771-3680
48 A E Ridge Pike
Conshohocken, PA 19428-2117
Phone (484) 243-6735
9998 Frankford Ave
Philadelphia, PA 19114-1928
Phone (267) 669-1101
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA063674 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Group, PC | Current | Accepting new patients |
Locations
858 E Welsh Rd
Ste 10
Maple Glen, PA 19002
Phone (215) 283-2838
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Conshohocken, PA
- NPI 1508538695
-
- Urgent Care Clinic/Center
- Philadelphia, PA
- NPI 1689067472
-
- Internal Medicine Physician
- Maple Glen, PA
- NPI 1245287770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1609508597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6803 OAKLEY ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191113914",
"telephone_number": "267-265-9443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 LOCUST ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191024223",
"telephone_number": "215-800-1909"
}
],
"practiceLocations": [
{
"address_1": "1501 N Broad St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191223319",
"country_code": "US",
"telephone_number": "267-457-5553",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1008 Arch St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191073002",
"country_code": "US",
"telephone_number": "267-881-9111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3717 Chestnut St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191043164",
"country_code": "US",
"telephone_number": "215-921-8294",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "VAN",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-29",
"last_updated": "2022-06-29",
"certification_date": "2022-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA063674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VIVIENNE",
"last_name": "NGUYEN",
"credential": "PA-C",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.