Individual provider Active NPI

Catvy Ngoc Nguyen, NP95016651

  • Nurse Practitioner
  • Lake Forest, CA
National Provider Identifier
1770605156
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95016651 Issued in CA
Practice address
22471 Aspan St Ste 103
Lake Forest, CA 92630-1644
Phone
(949) 458-2715
NPI assigned
Apr 4, 2007
Last updated
Oct 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95016651 CA Primary

Addresses

Primary practice location

22471 Aspan St Ste 103
Lake Forest, CA 92630-1644

Mailing address

22471 Aspan St Ste 103
Lake Forest, CA 92630-1644
Phone (949) 458-2715

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220608002756 CA Practitioner - Nurse Practitioner 3870971559 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

22471 Aspan St
Suite 103
Lake Forest, CA 92630-1644
Phone 71454775591105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Camarena Health CurrentSince Jan 14, 2024 Accepting new patients
Camarena Health CurrentSince Jan 14, 2024 Accepting new patients
Bay Area Community Health CurrentSince Apr 3, 2025 Accepting new patients
Orange County Association for Mental Health CurrentSince Aug 1, 2025 Accepting new patients
Brainpower Wellness Institute Nursing Corporation CurrentSince Dec 29, 2025 Accepting new patients
Bay Area Community Health CurrentSince Apr 3, 2025 Accepting new patients
Orange County Association for Mental Health Current Accepting new patients
Camarena Health Current Accepting new patients
Orange County Association for Mental Health CurrentSince Aug 1, 2025 Accepting new patients
Amygdala Medical Corporation PastSince Nov 1, 2023 Accepting new patients
Southern California Health & Rehabilitation Program PastSince Jun 1, 2021 Accepting new patients
Brainiac Medical Corporation Nurse Practitioner PastSince Nov 1, 2025 Accepting new patients

Locations

160 S Old Springs Rd
Ste 135D
Anaheim, CA 92808
Phone (714) 712-0711

1101 California Ave
Ste 100
Corona, CA 92881
Phone (714) 584-9700

1101 California Ave
Ste 10018
Corona, CA 92881
Phone (714) 712-0711

40910 Fremont Blvd
Fremont, CA 94538
Phone (510) 770-8133

22471 Aspan St
Ste 103
Lake Forest, CA 92630
Phone (714) 547-7559

344 E 6th St
Madera, CA 93638
Phone (559) 664-4158

49169 Road 426
Oakhurst, CA 93644
Phone (559) 642-6724

1310 W Stewart Dr
Ste 301
Orange, CA 92868
Phone (714) 712-0711

2230 W Chapman Ave
Ste 212
Orange, CA 92868
Phone (714) 712-0711

1066 S White Rd
Ste 170
San Jose, CA 95127

1650 S White Rd
San Jose, CA 95127
Phone (408) 928-5250

1971 E 4th St
Ste 130A
Santa Ana, CA 92705
Phone (714) 547-7559

2599 E 28th St
Ste 206
Signal Hill, CA 90755
Phone (562) 231-7174

3655 Torrance Blvd
Ste 301
Torrance, CA 90503
Phone (714) 712-0711

Interoperability endpoints

  • Direct secure messaging: catvy.nguyen.1@25900.direct.athenahealth.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1770605156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22471 ASPAN ST STE 103",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301644",
            "telephone_number": "949-458-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22471 ASPAN ST STE 103",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301644",
            "telephone_number": "949-458-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CATVY",
        "middle_name": "NGOC",
        "credential": "NP95016651",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95016651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

Verify at the official NPI Registry.