Hieu Trung Nguyen

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A206241 Issued in CA

Practice address

333 Corporate Dr Ste 260
Ladera Ranch, CA 92694-2180

Phone

(949) 768-2988

Fax

(949) 768-2980

NPI assigned

Mar 18, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Psychiatry

Education

University of Washington School of Medicine, 2022

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Kevin M. Kinback, M.D.

  • Psychiatry Physician
  • Ladera Ranch, CA
  • NPI 1902014780
  Medicare reassignment
• Kevin Kinback

  • Psychiatry Physician
  • Ladera Ranch, CA
  • NPI 1912324443
  NPD (past)

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1891444725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CORPORATE DR STE 260",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942180",
            "telephone_number": "949-768-2988",
            "fax_number": "949-768-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CORPORATE DR STE 260",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942180",
            "telephone_number": "949-768-2988",
            "fax_number": "949-768-2980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6400 Southcenter Blvd",
            "address_purpose": "LOCATION",
            "city": "Tukwila",
            "state": "WA",
            "postal_code": "981882547",
            "country_code": "US",
            "telephone_number": "206-901-2000",
            "fax_number": "206-901-2010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1959 NE Pacific St # 356560",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981953321",
            "country_code": "US",
            "telephone_number": "206-543-4292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HIEU",
        "middle_name": "TRUNG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-18",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD61588870",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A206241",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina K Morris
• Jyoti Pathria Mundi, M.D.
• Tiffany Pingkan Nababan
• Ana Paula Neciosup Sanchez
• Michelle Marie Neely
• Kristen Bao Duy Nguyen
• Monique Maihuong Nguyen, OD
• Pamela Niedzwiecki, MS, OTR/L
• Niloufar Hedayat, O.D., Inc.
• Nourish and Thrive Therapy

• Psychiatry Physician in Ladera Ranch, CA
• Providers in Ladera Ranch, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.