Individual provider Active NPI

Ronald Nguyen, MD

  • Anesthesiology Physician
  • Santa Ana, CA
National Provider Identifier
1720436736
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
142461 Issued in CA
Practice address
2802 S Diamond St
Santa Ana, CA 92704-6015
Phone
(714) 924-4830
NPI assigned
May 31, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 142461 CA Primary

Addresses

Primary practice location

2802 S Diamond St
Santa Ana, CA 92704-6015

Mailing address

2802 S Diamond St
Santa Ana, CA 92704-6015
Phone (714) 924-4830

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180809000610 CA Practitioner - Anesthesiology 5991053878 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Saint Louis University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orange Coast Anesthesia IncGroup PAC ID 2466613591, 85 clinicians

Practice addresses (Care Compare)

3751 Katella Ave
Los Alamitos, CA 90720-3113
Phone (562) 598-1311

Hospital & facility affiliations

  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
142461CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premiercare Anesthesia Fountain Valley Inc Anesthesiology CurrentSince Aug 6, 2018 Accepting new patients
Orange Coast Anesthesia Inc Anesthesiology CurrentSince Dec 8, 2023 Accepting new patients

Locations

17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

3751 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-3160

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

Organizations & group practices 2

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.

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": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1720436736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 S DIAMOND ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046015",
            "telephone_number": "714-924-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 S DIAMOND ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046015",
            "telephone_number": "714-924-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "RONALD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "142461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.