Theresa Toquyen Nguyen, DO

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

20A12682 Issued in CA

Practice address

15405 Lansdowne Rd
Tustin, CA 92782

Phone

(925) 997-9093

NPI assigned

Jul 1, 2010

Last updated

Jun 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, AZ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Psychiatry

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Community Intervention Associates Inc.Group PAC ID 4880851971, 9 clinicians

County of ModocGroup PAC ID 5193987808, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Modoc Medical Center Hospital, Alturas, CA, CCN 051330

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: theresa.nguyen.p1@direct.azca.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Modoc

  • Behavior Analyst
  • Alturas, CA
  • NPI 1396858668
  Medicare reassignment Care Compare group NPD
• Community Intervention Associates, Inc.

  dba Community Intervention Associates

  • Community/Behavioral Health Agency
  • Bisbee, AZ
  • NPI 1518250620
  Medicare reassignment Care Compare group NPD
• County of Imperial

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • El Centro, CA
  • NPI 1225258841
  Medicare reassignment NPD
• Community Intervention Assciates, Inc

  dba Communitiy Health Associates

  • Community/Behavioral Health Agency
  • Parker, AZ
  • NPI 1144961152
  NPD
• Community Intervention Associates, Inc.

  dba Community Intervention Associates

  • Community/Behavioral Health Agency
  • Parker, AZ
  • NPI 1255663423
  NPD
• Community Intervention Associates, Inc.

  dba Community Health Associates

  • Primary Care Clinic/Center
  • Yuma, AZ
  • NPI 1851651079
  NPD (past)
• University of Missouri - Columbia

  • General Acute Care Hospital
  • Columbia, MO
  • NPI 1285920504
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Last Frontier Healthcare District

  dba Modoc Medical Center

  • Critical Access Hospital
  • Alturas, CA
  • NPI 1487669032
  Care Compare affiliation
• Last Frontier Healthcare District

  dba Modoc Medical Center

  • Rural Health Clinic/Center
  • Alturas, CA
  • NPI 1487764064

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1679884928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE HOSPITAL DRIVE",
            "address_2": "DC018.00",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15405 LANSDOWNE RD",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "92782",
            "telephone_number": "925-997-9093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2851 S Avenue B Ste 2901",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853647756",
            "country_code": "US",
            "telephone_number": "928-376-0026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THERESA",
        "middle_name": "TOQUYEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A12682",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AZ",
            "license": "007228",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "20A12682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Kieu Nguyen
• Paul Truong Nguyen, DENTIST
• Phalee Ngoc Nguyen, PA-C
• Ryan Nguyen, PHARMD
• Sarah Thu Nguyen
• Thien Trang Thi Nguyen, DDS
• Thu Anh Nguyen
• Tiffany Trang Anh Nguyen, DDS
• Todd Nguyen, NP
• Tony Toan Nguyen

• Child & Adolescent Psychiatry Physician in Tustin, CA
• Providers in Tustin, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.

Verify at the official NPI Registry.