Individual provider Active NPI

Katie T Nguyen, FNP

  • Nurse Practitioner
  • Downey, CA
National Provider Identifier
1851839880
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95005943 Issued in CA
Practice address
11942 Paramount Blvd
Ste B
Downey, CA 90242-2306
Phone
(562) 923-6060
Fax
(562) 923-6601
NPI assigned
Feb 10, 2017
Last updated
Feb 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95005943 CA Primary

Addresses

Primary practice location

11942 Paramount Blvd
Ste B
Downey, CA 90242-2306

Mailing address

1617 Haven LN
Santa Ana, CA 92703-1273

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
I20180206002263 CA Practitioner - Nurse Practitioner 5890055107 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saetrum Opgaard MD Inc CurrentSince Oct 1, 2021 Accepting new patients
Ame Medical Group Inc CurrentSince Nov 21, 2017 Accepting new patients

Locations

11942 Paramount Blvd
#B
Downey, CA 90242
Phone (562) 923-6060

9191 Westminster Ave
Ste 207
Garden Grove, CA 92844
Phone (714) 786-5794

Organizations & group practices 2

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": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1851839880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 HAVEN LN",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927031273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11942 PARAMOUNT BLVD",
            "address_2": "STE B",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902422306",
            "telephone_number": "562-923-6060",
            "fax_number": "562-923-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KATIE",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-10",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95005943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.