Active NPI
Shauna Nguyen, DSMC, MSM, PA-C
- Physician Assistant
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA00319
- Practice address
- 2315 Stockton Blvd
Sacramento, CA 95817-2201 - Phone
- (916) 703-4496
- NPI assigned
- Feb 28, 2017
- Sex
- Female
- Sole proprietor
- No
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 | PA00319 | MS | Primary |
Addresses
Primary practice location
2315 Stockton Blvd
Sacramento, CA 95817-2201
Mailing address
2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 703-4496
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, AL, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2221 Stockton Blvd
Sacramento, CA 95817-1418
Phone (916) 734-2680
2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 734-2011
Hospital & facility affiliations
- University of California Davis Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60389 | CA | MD | Dental Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Dominic Medical Associates, LLC | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Pontotoc Health Services, Inc. | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| North Mississippi Medical Center | Current | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients |
Locations
2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030
4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313
2221 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-2680
2315 Stockton Blvd
Ste 2P101
Sacramento, CA 95817
Phone (800) 282-3284
106 Highland Way
Ste 202
Madison, MS 39110
Phone (601) 200-3376
176 S Main St
Pontotoc, MS 38863
Phone (601) 489-5510
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
Interoperability endpoints
- shaunanguyen@nmhs.medalliesdirect.net
Organizations & group practices 15
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.
-
- Maternal & Fetal Medicine Physician
- Sacramento, CA
- NPI 1013906973
-
- Critical Access Hospital
- Pontotoc, MS
- NPI 1821103516
-
- Emergency Medicine Physician
- Hattiesburg, MS
- NPI 1336867415
-
- Emergency Medicine Physician
- Tupelo, MS
- NPI 1841664661
-
- Emergency Medicine Physician
- West Point, MS
- NPI 1275172736
-
- Hospitalist Physician
- Amory, MS
- NPI 1205470796
-
- Emergency Medicine Physician
- Hamilton, AL
- NPI 1356089874
-
- Hospitalist Physician
- Tupelo, MS
- NPI 1710622832
-
- Family Medicine Physician
- Jackson, MS
- NPI 1407920549
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1477546406
-
- Trauma Surgery Physician
- Sacramento, CA
- NPI 1568455590
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1710918545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686009600000",
"number": "1639619331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 STOCKTON BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172201",
"telephone_number": "916-703-4496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 STOCKTON BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172201",
"telephone_number": "916-703-4496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "SHAUNA",
"name_prefix": "Dr.",
"credential": "DSMC, MSM, PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-28",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MS",
"license": "PA00319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.