Active NPI
Vina Nguyen
- Physician Assistant
- La Palma, CA
National Provider Identifier
1770049090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA56454
- Practice address
- 5451 La Palma Ave Ste 25
La Palma, CA 90623-1730 - Phone
- (714) 670-1340
- Fax
- (714) 670-0767
- NPI assigned
- Feb 12, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA56454 | CA | Primary |
Addresses
Primary practice location
5451 La Palma Ave Ste 25
La Palma, CA 90623-1730
Mailing address
11808 Rowles CT
Los Angeles, CA 90066-4686
Phone (310) 736-0235
Other practice location 1
2063 S Atlantic Blvd Ste 300
Monterey Park, CA 91754-6366
Phone (323) 796-0170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA56454 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549929600000",
"number": "1770049090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11808 ROWLES CT",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900664686",
"telephone_number": "310-736-0235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5451 LA PALMA AVE STE 25",
"city": "LA PALMA",
"state": "CA",
"postal_code": "906231730",
"telephone_number": "714-670-1340",
"fax_number": "714-670-0767"
}
],
"practiceLocations": [
{
"address_1": "2063 S Atlantic Blvd Ste 300",
"address_purpose": "LOCATION",
"city": "Monterey Park",
"state": "CA",
"postal_code": "917546366",
"country_code": "US",
"telephone_number": "323-796-0170",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "VINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-12",
"last_updated": "2019-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA56454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Palma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.