Organization Active NPI

Theresa Thanh Ngoc Nguyen, MD, Inc.

  • Internal Medicine Physician
  • Santa Ana, CA
National Provider Identifier
1750667192
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A61129 Issued in CA
Legal business name
THERESA THANH NGOC NGUYEN, MD, INC.
Practice address
5030 Westminster Ave
Santa Ana, CA 92703-1151
Phone
(714) 775-8090
Fax
(657) 251-0494
NPI assigned
Oct 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Theresa Thanh Ngoc Nguyen, MDNPI 1003893801
Title
Physician in Charge
Phone
(714) 775-8090

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A61129 CA Primary

Addresses

Primary practice location

5030 Westminster Ave
Santa Ana, CA 92703-1151

Mailing address

5030 Westminster Ave
Santa Ana, CA 92703-1151
Phone (714) 775-8090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120501000230 CA Part B Supplier - Clinic/Group Practice 8820250293 Receives reassigned benefits from 2 practitioners
Practice locations: Santa Ana, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0951274Theresa Thanh Ngoc Nguyen, MD Inc5030 Westminster Ave, Santa Ana, CA 92703Certificate of waiverSep 14, 2026

National Provider Directory

National Provider Directory
Tax ID family
Theresa Thanh Ngoc Nguye2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15576 Brookhurst St
Ste B
Westminster, CA 92683
Phone (657) 206-8003

Practitioners & affiliated clinicians

Practitioners 3

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": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1750667192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 WESTMINSTER AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927031151",
            "telephone_number": "714-775-8090",
            "fax_number": "657-251-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 WESTMINSTER AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927031151",
            "telephone_number": "714-775-8090",
            "fax_number": "657-251-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA THANH NGOC NGUYEN, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THERESA THANH",
        "authorized_official_middle_name": "NGOC",
        "authorized_official_title_or_position": "PHYSICIAN IN CHARGE",
        "authorized_official_telephone_number": "714-775-8090",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A61129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.