Individual provider Active NPI

Vivian Nguyen Duong, FNP

  • Family Nurse Practitioner
  • Irvine, CA
National Provider Identifier
1801402912
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95014855 Issued in CA
Practice address
3500 Barranca Pkwy Ste 300
Irvine, CA 92606-8232
Phone
(949) 788-1133
Fax
(949) 788-1136
NPI assigned
Sep 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X NP95014855 CA
Family Nurse Practitioner 363LF0000X 95014855 CA Primary

Addresses

Primary practice location

3500 Barranca Pkwy Ste 300
Irvine, CA 92606-8232

Mailing address

13446 N Mackay CT
Tustin, CA 92782-9044
Phone (949) 439-4080

Other practice location 1

13446 N MacKay Ct
Tustin, CA 92782-9044
Phone (949) 439-4080

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95014855CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quality of Life Healthcare Inc Single Specialty CurrentSince May 1, 2021 Accepting new patients
Happy Weight Wellness Nursing, Inc Single Specialty CurrentSince May 4, 2025 Accepting new patients

Locations

1442 Irvine Blvd
Ste 101
Tustin, CA 92780
Phone (714) 544-3900

Organizations & group practices 2

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": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1801402912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13446 N MACKAY CT",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927829044",
            "telephone_number": "949-439-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 BARRANCA PKWY STE 300",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926068232",
            "telephone_number": "949-788-1133",
            "fax_number": "949-788-1136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13446 N MacKay Ct",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927829044",
            "country_code": "US",
            "telephone_number": "949-439-4080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUONG",
        "first_name": "VIVIAN",
        "middle_name": "NGUYEN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95014855",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.