Individual provider Active NPI

Natalie Nguyen

  • Physician Assistant
  • Mililani, HI
National Provider Identifier
1942077938
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
AMD-1427-0 Issued in HI
Practice address
100 Kahelu Ave Ste 226
Mililani, HI 96789-3962
Phone
(808) 621-1000
NPI assigned
Dec 8, 2023
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10642 AZ
Physician Assistant 363A00000X AMD-1427-0 HI Primary

Addresses

Primary practice location

100 Kahelu Ave Ste 226
Mililani, HI 96789-3962

Mailing address

100 Kahelu Ave Ste 226
Mililani, HI 96789-3962
Phone (808) 621-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, HI2 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
I20241125004156 AZ Practitioner - Physician Assistant 7315472537 Reassigns benefits to 1 organization
I20260211003862 HI Practitioner - Physician Assistant 7315472537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete DermatologyGroup PAC ID 1759510316, 6 clinicians

Practice addresses (Care Compare)

98 -1079 Moanalua Rd
Suite 550
Aiea, HI 96701-4716
Phone (808) 621-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10642AZMDEmergency Medicine Physician
AMD-1427-0HIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Phandinh Clinic-Urgent Care & Wellness Center PC CurrentSince Sep 1, 2024 Accepting new patients
Complete Dermatology CurrentSince Nov 29, 2025 Accepting new patients
Paul S Takiguchi MD Inc PastSince Nov 29, 2025 Accepting new patients

Locations

5406 W Glenn Dr
Ste 3
Glendale, AZ 85301
Phone (623) 270-6336

98-1079 Moanalua Rd
Ste 550
Aiea, HI 96701
Phone (808) 487-0083

100 Kahelu Ave
Ste 226
Mililani, HI 96789
Phone (808) 594-8579

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, 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": "1701993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1942077938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KAHELU AVE STE 226",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967893962",
            "telephone_number": "808-621-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KAHELU AVE STE 226",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967893962",
            "telephone_number": "808-621-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "NATALIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-08",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "10642",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "HI",
            "license": "AMD-1427-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mililani, HI

Sources for this page

Verify at the official NPI Registry.