Active NPI
Diemchi Nguyenphuc, MD
- Obstetrics & Gynecology Physician
- Santa Ana, CA
National Provider Identifier
1629104930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- G68620
- Practice address
- 3501 S Harbor Blvd
Santa Ana, CA 92704-6919 - Phone
- (714) 929-2300
- NPI assigned
- Feb 23, 2007
- Last updated
- Jan 24, 2017
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | G68620 | CA | Primary |
Addresses
Primary practice location
3501 S Harbor Blvd
Santa Ana, CA 92704-6919
Mailing address
6572 Polo Cir
Huntington Beach, CA 92648-1542
Phone (714) 916-6453
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G686200 | Medicaid | CA |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240821005202 | CA | Order and Referring Only - Obstetrics/Gynecology | 0042488785 |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Northwestern University Feinberg Medical School, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Medical Wellness Centers USA
Practice addresses (Care Compare)
1360 E Anaheim St
Suite 101
Long Beach, CA 90813-5514
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68620 | CA | MD | Pharmacist |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- diemchinguyenphuc@hcpca.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485216000000",
"number": "1629104930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6572 POLO CIR",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926481542",
"telephone_number": "714-916-6453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 S HARBOR BLVD",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927046919",
"telephone_number": "714-929-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYENPHUC",
"first_name": "DIEMCHI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2017-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "G68620",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G686200",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.