Active NPI
Pacific Vein and Wound
- Dermatology Physician
- Anaheim, CA
National Provider Identifier
1851266589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 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 DirectoryNPI 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
- Pacific Hand & Orthopedic Surgery Center Inc
- Pacific in Home Care LLC Dba Acti-Kare Responsive in-Home Care
- Pacific Mobile Wound Care
- Pacific Nephrology Associates Medical Group, PC
- Pacific Shores Radiology Medical Group Inc.
- Pacific Wavecrest Medical Corporation
- Pacific Wellness & Family Therapy Corp
- Pacifica SL Anaheim Hills LLC (Meridian At Anaheim Hills)
- Cesar David Padilla
- Kassandra Alexis Padilla
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.