Active NPI
MN Nurse Practitioners in Practice
- Psychiatric/Mental Health Nurse Practitioner
- Newport Beach, CA
National Provider Identifier
1932957123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- MN NURSE PRACTITIONERS IN PRACTICE
- Practice address
- 20311 SW Birch St Ste 100
Newport Beach, CA 92660-1778 - Phone
- (949) 345-5990
- NPI assigned
- May 11, 2024
- Last updated
- May 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mimie Nguyen, PMHNP
- Title
- Ceo
- Phone
- (714) 837-4332
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | Primary |
Addresses
Primary practice location
20311 SW Birch St Ste 100
Newport Beach, CA 92660-1778
Mailing address
7377 La Palma Ave Unit 6875
Buena Park, CA 90622-8163
Phone (714) 837-4332
National Provider Directory
National Provider DirectoryLocations
7377 La Palma Ave
Unit 6875
Buena Park, CA 90622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715385600000",
"number": "1932957123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7377 LA PALMA AVE UNIT 6875",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906228163",
"telephone_number": "714-837-4332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20311 SW BIRCH ST STE 100",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926601778",
"telephone_number": "949-345-5990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MN NURSE PRACTITIONERS IN PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-11",
"last_updated": "2024-05-11",
"certification_date": "2024-05-11",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "MIMIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "714-837-4332",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.