La Magnolia Medical Group

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G63064 Issued in CA

Legal business name

LA MAGNOLIA MEDICAL GROUP

Practice address

14571 Magnolia St. #210
Westminster, CA 92683

Phone

(714) 894-3103

Fax

(714) 894-6264

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Yenchi Nguyen Phuc, MDNPI 1912063926

Title

President

Phone

(714) 894-3103

Specialties & licenses 2

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yenchi Nguyenphuc, MD

  • Pediatrics Physician
  • Westminster, CA
  • NPI 1912063926
  NPD (past) Authorized official
• Huy Minh Nguyen, MD

  • Pediatrics Physician
  • Westminster, CA
  • NPI 1144378050
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371168000000",
    "number": "1811006869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14571 MAGNOLIA ST. #210",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "92683",
            "telephone_number": "714-894-3103",
            "fax_number": "714-894-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14571 MAGNOLIA ST. #210",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "92683",
            "telephone_number": "714-894-3103",
            "fax_number": "714-894-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA MAGNOLIA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-06-14",
        "status": "A",
        "authorized_official_last_name": "NGUYEN PHUC",
        "authorized_official_first_name": "YENCHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-894-3103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A40020",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G63064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0093500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristine Nga Hoang Tran, DMD, Inc.
• Julia Kushner, RN
• Melissa Kusler, LCSW
• William Myung Kwon, DDS, MD
• Ky Ngoc Nguyen MD Inc
• Kinh La-Pham, D.D.S.
• Minh-an La-Pham, D.D.S.
• Kristine Huyen Tran La, PHARMD
• Phuc Vinh La
• Laboratory Practice, Inc.

• Pediatrics Physician in Westminster, CA
• Providers in Westminster, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.