Individual provider Active NPI

Alyson Nguyen, PA

  • Physician Assistant
  • Huntington Beach, CA
National Provider Identifier
1801508106
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA62254 Issued in CA
Practice address
19671 Beach Blvd Ste 215
Huntington Beach, CA 92648-5903
Phone
(714) 545-5550
NPI assigned
Dec 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA62254 CA Primary

Addresses

Primary practice location

19671 Beach Blvd Ste 215
Huntington Beach, CA 92648-5903

Mailing address

9315 Bolsa Ave # 52
Westminster, CA 92683-5902

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
I20240507002537 CA Practitioner - Physician Assistant 6608217716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Neuropsychiatric Specialists IncGroup PAC ID 3375796170, 70 clinicians

Practice addresses (Care Compare)

19671 Beach Blvd
Suite 215
Huntington Beach, CA 92648-5903
Phone (714) 545-5550

3151 Airway Ave
Suite G1
Costa Mesa, CA 92626-4624
Phone (714) 545-5550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
62254CAMDPharmacist
PA62254CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hoag Hospital Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: anguyen788972@direct.memorialcare.org

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": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1801508106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9315 BOLSA AVE # 52",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19671 BEACH BLVD STE 215",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485903",
            "telephone_number": "714-545-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ALYSON",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA62254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.