Individual provider Active NPI

Hoang Dao Nguyen, M.D.

  • Child & Adolescent Psychiatry Physician
  • Orange, CA
National Provider Identifier
1841240769
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
A69179 Issued in CA
Practice address
455 S Main St
Dept of Psychiatry
Orange, CA 92868-3835
Phone
(714) 532-8481
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A69179 CA
Child & Adolescent Psychiatry Physician 2084P0804X A69179 CA Primary

Addresses

Primary practice location

455 S Main St
Dept of Psychiatry
Orange, CA 92868-3835

Mailing address

16027 Brookhurst St
Suite I 153
Fountain Valley, CA 92708-1551

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130430000548 CA Practitioner - Psychiatry 1153568670 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A69179CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of California - Department of Developmental Services CurrentSince Mar 13, 2013 Accepting new patients
Agnews Community Clinic CurrentSince Mar 13, 2013 Accepting new patients
State of California - Department of Developmental Services Current Accepting new patients
Children'S Hospital of Orange County Past Accepting new patients
Pediatric Subspecialty Faculty, Inc. Past Accepting new patients

Locations

2501 Harbor Blvd
Costa Mesa, CA 92626
Phone (714) 957-5000

Organizations & group practices 5

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1841240769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16027 BROOKHURST ST",
            "address_2": "SUITE I 153",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 S MAIN ST",
            "address_2": "DEPT OF PSYCHIATRY",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683835",
            "telephone_number": "714-532-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HOANG",
        "middle_name": "DAO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A69179",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A69179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.