Organization Active NPI

Pacific Vein and Wound

  • Dermatology Physician
  • Anaheim, CA
National Provider Identifier
1851266589
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
PACIFIC VEIN AND WOUND
Practice address
1741 W Romneya Dr Ste E
Anaheim, CA 92801-1805
Phone
(916) 317-8796
NPI assigned
Oct 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Authorized official

Name
Mrs. Tyna Nguyen
Title
Manager
Phone
(916) 317-8796

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

1741 W Romneya Dr Ste E
Anaheim, CA 92801-1805

Mailing address

1741 W Romneya Dr Ste E
Anaheim, CA 92801-1805
Phone (916) 317-8796

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1760054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1851266589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 W ROMNEYA DR STE E",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011805",
            "telephone_number": "916-317-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 W ROMNEYA DR STE E",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011805",
            "telephone_number": "916-317-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC VEIN AND WOUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-10",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TYNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "916-317-8796",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.