Individual provider Active NPI

Ngoc Kim Nguyen, RN MSN FNP-BC CMSRN

  • Family Nurse Practitioner
  • Santa Ana, CA
National Provider Identifier
1891216370
Registry record updated Jul 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95006371 Issued in CA
Practice address
18912 Fowler Ave
Santa Ana, CA 92705-1217
Phone
(714) 603-8599
NPI assigned
Jul 5, 2017
Last updated
Jul 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95006371 CA Primary

Addresses

Primary practice location

18912 Fowler Ave
Santa Ana, CA 92705-1217

Mailing address

18912 Fowler Ave
Santa Ana, CA 92705-1217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171012000851 CA Practitioner - Nurse Practitioner 7113292459 Reassigns benefits to 6 organizations
I20260225003270 TX Practitioner - Nurse Practitioner 7113292459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kelvin Mai DO IncGroup PAC ID 9133259906, 3 clinicians
Ted Medical Group IncGroup PAC ID 3870927908, 2 clinicians

Practice addresses (Care Compare)

Anaheim, CA 92801
Phone (714) 230-6351

1002 N Fairview St
Santa Ana, CA 92703-1811
Phone (714) 332-1069

11980 Mount Vernon Ave
Grand Terrace, CA 92313-5172
Phone (909) 864-1097

12865 Main St
Suite 105
Garden Grove, CA 92840-8205
Phone (800) 560-9999

23119 Soboba Rd
Soboba Indian Health Clinic
San Jacinto, CA 92583-5517
Phone (951) 654-0803

47001 Pala Rd
Temecula, CA 92592-2925
Phone (951) 676-6810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive and Health Center of Orange County Inc. CurrentSince Jan 11, 2024 Accepting new patients
Riverside-San Bernardino County Indian Health, Inc CurrentSince Jan 6, 2026 Accepting new patients
Riverside-San Bernardino County Indian Health, Inc CurrentSince Jan 6, 2026 Accepting new patients
Standard Care Hospice, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Kelvin Mai, D.O., Inc CurrentSince Sep 1, 2021 Accepting new patients
Ted Medical Group, Inc. CurrentSince Oct 1, 2019 Accepting new patients
House Call Medical Associates, Inc. CurrentSince Nov 11, 2019 Accepting new patients

Locations

2323 W Lincoln Ave
Ste 207B
Anaheim, CA 92801
Phone (714) 230-6351

508 S Brookhurst St
Anaheim, CA 92804
Phone (800) 560-9999

10900 Warner Ave
Ste 201
Fountain Valley, CA 92708
Phone (714) 274-9969

17195 Newhope St
Ste 107
Fountain Valley, CA 92708
Phone (714) 444-2414

8700 Warner Ave
Ste 270
Fountain Valley, CA 92708
Phone (800) 560-9999

17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200

12865 Main St
Ste 105
Garden Grove, CA 92840
Phone (714) 360-0739

11980 Mount Vernon Ave
Grand Terrace, CA 92313
Phone (909) 783-8470

1002 N Fairview St
Santa Ana, CA 92703
Phone (714) 332-1069

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Standard Care Hospice IncAnaheim, CA, CCN B21779 Hospice W-2 Managing Employee May 11, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499212800000",
    "number": "1891216370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18912 FOWLER AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927051217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18912 FOWLER AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927051217",
            "telephone_number": "714-603-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "NGOC",
        "middle_name": "KIM",
        "credential": "RN MSN FNP-BC CMSRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2017-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.