Uyen Jackie Nguyen, M.D., Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A76872 Issued in CA

Legal business name

UYEN JACKIE NGUYEN, M.D., INC

Practice address

18682 Beach Blvd Ste 110
Huntington Beach, CA 92648-2049

Phone

(714) 378-1300

Fax

(714) 378-1316

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Uyen Nhi Nguyen, M.D.NPI 1508864992

Title

Owner

Phone

(714) 378-1300

Specialties & licenses 1

Addresses

Other names 1

• UYEN NHI NGUYEN, M.D. Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AFFEAA

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Uyen Nhi Nguyen, MD

  • Family Medicine Physician
  • Huntington Beach, CA
  • NPI 1508864992
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1700959889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18682 BEACH BLVD STE 160",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482077",
            "telephone_number": "714-378-1300",
            "fax_number": "714-378-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18682 BEACH BLVD STE 110",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482049",
            "telephone_number": "714-378-1300",
            "fax_number": "714-378-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UYEN JACKIE NGUYEN, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "UYEN",
        "authorized_official_middle_name": "NHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-378-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A76872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UYEN NHI NGUYEN, M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Family Medicine Physician in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.