Active NPI
Cammie Nguyen
- Registered Dietitian
- Anaheim, CA
National Provider Identifier
1770978348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86015653
- Practice address
- 6749 E Kentucky Ave
Anaheim, CA 92807-5023 - Phone
- (951) 582-1294
- NPI assigned
- Apr 1, 2015
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86015653 | CA | Primary |
Addresses
Primary practice location
6749 E Kentucky Ave
Anaheim, CA 92807-5023
Mailing address
6749 E Kentucky Ave
Anaheim, CA 92807-5023
Phone (951) 582-1294
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250519001514 | CA | Practitioner - Registered Dietitian Or Nutrition Professional | 2769900257 | Practice locations: Anaheim, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86015653 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellvia Nutrition, LLC | Dietitian, Registered | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728000000000",
"number": "1770978348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6749 E KENTUCKY AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928075023",
"telephone_number": "951-582-1294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6749 E KENTUCKY AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928075023",
"telephone_number": "951-582-1294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "CAMMIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-01",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86015653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.