Active NPI
Angie Songngan Nguyen, NP
- Nurse Practitioner
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP95008636
- Practice address
- 1401 W 1St St Ste 101
Santa Ana, CA 92703-3757 - Phone
- (714) 542-9700
- Fax
- (714) 542-9708
- NPI assigned
- Mar 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP95008636 | CA | Primary |
Addresses
Primary practice location
1401 W 1St St Ste 101
Santa Ana, CA 92703-3757
Mailing address
23141 Verdugo Dr Ste 201
Laguna Hills, CA 92653-1341
Phone (949) 215-5055
Other practice location 1
23141 Verdugo Dr Ste 201
Laguna Hills, CA 92653-1341
Phone (949) 215-5055
Other practice location 2
2101 Rosecrans Ave # 3230
El Segundo, CA 90245-4749
Phone (323) 628-8671
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP95008636 | Other | CA | NURSE PRACTIONER |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180412001199 | CA | Practitioner - Nurse Practitioner | 5193088771 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BL Anderson Medical Corporation | Current | Accepting new patients | |
| Advance Urgent Medical Group Inc | Current | Accepting new patients | |
| Angel Providers | Current | Accepting new patients |
Locations
10890 Thornmint Rd
Ste 202
San Diego, CA 92127
Phone (855) 745-8400
10890 Thornmint Rd
San Diego, CA 92127
Phone (619) 407-8545
1401 W 1st St
Ste 101
Santa Ana, CA 92703
Phone (714) 542-9700
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- angie.nguyenfnp.p1@direct.csvs.nextgenshare.com
- angie.nguyen.p1@direct.scfhc.nextgenshare.com
- angie.nguyen.p7@direct.monarchhealthcare.nextgenshare.com
- annguyen@landmarkhealth-direct.org
Organizations & group practices 3
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.
-
- Clinic/Center
- Westminster, CA
- NPI 1821846015
-
- Health Maintenance Organization
- Santa Ana, CA
- NPI 1881847424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1780189670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23141 VERDUGO DR STE 201",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926531341",
"telephone_number": "949-215-5055",
"fax_number": "949-215-5044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 W 1ST ST STE 101",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927033757",
"telephone_number": "714-542-9700",
"fax_number": "714-542-9708"
}
],
"practiceLocations": [
{
"address_1": "23141 Verdugo Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Laguna Hills",
"state": "CA",
"postal_code": "926531341",
"country_code": "US",
"telephone_number": "949-215-5055",
"fax_number": "949-215-5044",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2101 Rosecrans Ave # 3230",
"address_purpose": "LOCATION",
"city": "El Segundo",
"state": "CA",
"postal_code": "902454749",
"country_code": "US",
"telephone_number": "323-628-8671",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "ANGIE",
"middle_name": "SONGNGAN",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-24",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP95008636",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTIONER",
"identifier": "NP95008636",
"state": "CA"
}
],
"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 Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.