Active NPI
Physician Healthcare Integration Ipa
- Health Maintenance Organization
- Buena Park, CA
National Provider Identifier
1619561016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- PHYSICIAN HEALTHCARE INTEGRATION IPA
- Practice address
- 6800 Lincoln Ave
Suite 200
Buena Park, CA 90620 - Phone
- (714) 495-4392
- NPI assigned
- Feb 25, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Khanh Bao Nguyen, MD
- Title
- Ceo
- Phone
- (714) 495-4392
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | Primary |
Addresses
Primary practice location
6800 Lincoln Ave
Suite 200
Buena Park, CA 90620
Mailing address
6800 Lincoln Ave
Suite 200
Buena Park, CA 90620
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614211200000",
"number": "1619561016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 LINCOLN AVE",
"address_2": "SUITE 200",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "90620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 LINCOLN AVE",
"address_2": "SUITE 200",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "90620",
"telephone_number": "714-495-4392"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIAN HEALTHCARE INTEGRATION IPA",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-25",
"last_updated": "2021-02-25",
"certification_date": "2021-02-25",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "KHANH",
"authorized_official_middle_name": "BAO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "714-495-4392",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.