Individual provider Active NPI

Angie Songngan Nguyen, NP

  • Nurse Practitioner
  • Santa Ana, CA
National Provider Identifier
1780189670
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP95008636 Issued in CA
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

Updated by the provider on Jun 7, 2023

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 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

IdentifierTypeStateIssuer
NP95008636OtherCANURSE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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)

OrganizationSpecialtyStatusNew patients
BL Anderson Medical Corporation CurrentSince Jul 28, 2024 Accepting new patients
Advance Urgent Medical Group Inc CurrentSince Jun 11, 2023 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

  • Direct secure messaging: angie.nguyenfnp.p1@direct.csvs.nextgenshare.com
  • Direct secure messaging: angie.nguyen.p1@direct.scfhc.nextgenshare.com
  • Direct secure messaging: angie.nguyen.p7@direct.monarchhealthcare.nextgenshare.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.