Active NPI
Cynthia Ong Nguyen, PA-C
- Physician Assistant
- Brea, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 60499
- Practice address
- 955 W Imperial Hwy Ste 200
Brea, CA 92821-3812 - Phone
- (714) 626-6310
- NPI assigned
- Aug 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 60499 | CA | Primary |
Addresses
Primary practice location
955 W Imperial Hwy Ste 200
Brea, CA 92821-3812
Mailing address
955 W Imperial Hwy Ste 200
Brea, CA 92821-3812
Phone (714) 626-6310
Other practice location 1
800 N Tustin Ave Ste G
Santa Ana, CA 92705-3605
Phone (714) 547-6111
Other practice location 2
4300 Rose Dr
Yorba Linda, CA 92886-2026
Phone (714) 992-5350
Other practice location 3
1530 E Edinger Ave Ste 1
Santa Ana, CA 92705-4915
Phone (714) 442-0600
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 E Valencia Mesa Dr
Suite 105
Fullerton, CA 92835-3816
Phone (714) 871-3006
1950 Sunny Crest Dr
Suite 2900
Fullerton, CA 92835-3641
Phone (714) 992-5350
4300 Rose Dr
Yorba Linda, CA 92886-2026
Phone (714) 577-6601
955 W Imperial Hwy
Brea, CA 92821-3812
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60499 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients |
Locations
200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841
955 W Imperial Hwy
Ste 200
Brea, CA 92821
Phone (714) 449-6900
1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835
100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200
4300 Rose Dr
Yorba Linda, CA 92886
Phone (714) 528-4211
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- Dermatology Physician
- Santa Ana, CA
- NPI 1730411794
-
- Surgery Physician
- Eureka, CA
- NPI 1477790517
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1922775121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 W IMPERIAL HWY STE 200",
"city": "BREA",
"state": "CA",
"postal_code": "928213812",
"telephone_number": "714-626-6310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 W IMPERIAL HWY STE 200",
"city": "BREA",
"state": "CA",
"postal_code": "928213812",
"telephone_number": "714-626-6310"
}
],
"practiceLocations": [
{
"address_1": "800 N Tustin Ave Ste G",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927053605",
"country_code": "US",
"telephone_number": "714-547-6111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4300 Rose Dr",
"address_purpose": "LOCATION",
"city": "Yorba Linda",
"state": "CA",
"postal_code": "928862026",
"country_code": "US",
"telephone_number": "714-992-5350",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1530 E Edinger Ave Ste 1",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927054915",
"country_code": "US",
"telephone_number": "714-442-0600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "CYNTHIA",
"middle_name": "ONG",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-25",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "60499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.