Individual provider Active NPI

Cindy Sieun An, AGPCNP-BC

  • Nurse Practitioner
  • Fullerton, CA
National Provider Identifier
1801579420
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95025982 Issued in CA
Practice address
100 N State College Blvd Ste H
Fullerton, CA 92831-4236
Phone
(714) 824-6565
Fax
(714) 930-7926
NPI assigned
Aug 10, 2023
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95025982 CA Primary
Gerontology Nurse Practitioner 363LG0600X 95025982 CA

Addresses

Primary practice location

100 N State College Blvd Ste H
Fullerton, CA 92831-4236

Mailing address

9373 Hazard Way Ste 200
San Diego, CA 92123-1226
Phone (858) 810-8000

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
I20230925000364 CA Practitioner - Nurse Practitioner 7113371261 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11100 Warner Ave
Suite 218
Fountain Valley, CA 92708-7511
Phone (714) 641-9696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Algos Inc., a Medical Corporation CurrentSince Feb 13, 2024 Accepting new patients
Balboa Nephrology Medical Group, Inc. Nurse Practitioner CurrentSince Apr 21, 2025 Accepting new patients
Algos Inc., a Medical Corporation CurrentSince Feb 13, 2024 Accepting new patients
Won K Yu MD MPH Inc CurrentSince Sep 1, 2023 Accepting new patients
Balboa Nephrology Medical Group,Inc. CurrentSince Apr 21, 2025 Accepting new patients
Algos Inc., a Medical Corporation Past Accepting new patients

Locations

737 W Hobsonway
Blythe, CA 92225
Phone (760) 922-4415

11100 Warner Ave
Ste 218
Fountain Vly, CA 92708
Phone (714) 424-0290

11100 Warner Ave
Ste 310
Fountain Vly, CA 92708
Phone (714) 424-0109

100 N State College Blvd
Ste H
Fullerton, CA 92831
Phone (714) 824-6565

4225 Executive Sq
Ste 450
La Jolla, CA 92037
Phone (858) 810-8000

725 W La Veta Ave
Ste 100
Orange, CA 92868
Phone (714) 633-6363

725 W La Veta Ave
Ste 110
Orange, CA 92868
Phone (714) 538-7060

1017 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 403-6200

224 N Fair Oaks Ave
Ste 300
Pasadena, CA 91103
Phone (626) 696-1451

4060 4th Ave
Ste 220
San Diego, CA 92103
Phone (619) 299-2350

9373 Hazard Way
Ste 200
San Diego, CA 92123
Phone (858) 810-8000

1125 E 17th St
Ste N452
Santa Ana, CA 92701
Phone (714) 597-7214

17400 Irvine Blvd
Ste F
Tustin, CA 92780
Phone (714) 838-5610

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: can75166@direct.acumenmd.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1801579420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9373 HAZARD WAY STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231226",
            "telephone_number": "858-810-8000",
            "fax_number": "858-268-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N STATE COLLEGE BLVD STE H",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928314236",
            "telephone_number": "714-824-6565",
            "fax_number": "714-930-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AN",
        "first_name": "CINDY",
        "middle_name": "SIEUN",
        "name_prefix": "Miss",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95025982",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95025982",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.