Organization Active NPI

Annmarie Nguyen MD, Inc

  • Obstetrics & Gynecology Physician
  • Garden Grove, CA
National Provider Identifier
1730343971
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G69150 Issued in CA
Legal business name
ANNMARIE NGUYEN MD, INC
Practice address
12665 Garden Grove Blvd Ste 611
Garden Grove, CA 92843-1920
Phone
(714) 539-5225
Fax
(714) 539-5213
NPI assigned
Jul 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Dr. Annmarie Trang Nguyen, MDNPI 1083628036
Title
Owner
Phone
(714) 539-5225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X G69150 CA Primary

Addresses

Primary practice location

12665 Garden Grove Blvd Ste 611
Garden Grove, CA 92843-1920

Mailing address

12665 Garden Grove Blvd Ste 611
Garden Grove, CA 92843-1920
Phone (714) 539-5225

Other identifiers 1

IdentifierTypeStateIssuer
00G691500MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090224000341 CA Part B Supplier - Clinic/Group Practice 2961567086 Receives reassigned benefits from 1 practitioner
Practice locations: Garden Grove, CA

National Provider Directory

National Provider Directory

Locations

12665 Garden Grove Blvd
Ste 611
Garden Grove, CA 92843
Phone (714) 539-5225

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1730343971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12665 GARDEN GROVE BLVD STE 611",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431920",
            "telephone_number": "714-539-5225",
            "fax_number": "714-539-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12665 GARDEN GROVE BLVD STE 611",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431920",
            "telephone_number": "714-539-5225",
            "fax_number": "714-539-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNMARIE NGUYEN MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ANNMARIE",
        "authorized_official_middle_name": "TRANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-539-5225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G69150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G691500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.