Phuong Nam Nguyen

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT17626 Issued in CA

Practice address

1922 N Broadway
Santa Ana, CA 92706-2610

Phone

(714) 901-4200

NPI assigned

Apr 3, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Intergro Resources, Inc

  • Physical Therapist
  • Santa Ana, CA
  • NPI 1275688756
  NPD (past)

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1902368475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 N BROADWAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062610",
            "telephone_number": "714-901-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 N BROADWAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062610",
            "telephone_number": "714-901-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PHUONG",
        "middle_name": "NAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT17626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikki Lu Thanh Thao Nguyen
• Oanh Nguyen
• Paul Nguyen, B.A
• Peter Nguyen
• Peter Nguyen, DPT
• Quang Binh Nguyen, MD
• Quoc Tran Nguyen, D.D.S.
• Quy Huu Nguyen, M.D.
• Quyen Nguyen
• Regina Nguyen

• Occupational Therapist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.