Individual provider Active NPI

William Nguyen, FNP-BC

  • Family Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1689316523
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95020597 Issued in CA
Practice address
1974 Santa Fe Ave
Long Beach, CA 90810-4064
Phone
(562) 595-9799
Fax
(562) 595-8884
NPI assigned
Apr 11, 2022
Last updated
Apr 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95020597 CA Primary

Addresses

Primary practice location

1974 Santa Fe Ave
Long Beach, CA 90810-4064

Mailing address

2527 E Omega Ave
Anaheim, CA 92806-5608
Phone (714) 310-8871

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220906001737 CA Practitioner - Nurse Practitioner 1557745833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Physicians Medical Group IncGroup PAC ID 8527963487, 7 clinicians

Practice addresses (Care Compare)

1974 Santa Fe Ave
Long Beach, CA 90810-4064
Phone (562) 595-9799

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95020597CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Physicians Medical Group Inc CurrentSince May 13, 2022 Accepting new patients

Locations

1974 Santa Fe Ave
Long Beach, CA 90810
Phone (310) 435-2003

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1689316523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2527 E OMEGA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928065608",
            "telephone_number": "714-310-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1974 SANTA FE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908104064",
            "telephone_number": "562-595-9799",
            "fax_number": "562-595-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "WILLIAM",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95020597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.