Individual provider Active NPI

Ryan Hai Truong Nguyen

  • Psychiatric/Mental Health Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1952187296
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95026411 Issued in CA
Practice address
5199 E Pacific Coast Hwy Ste 330N
Long Beach, CA 90804-3353
Phone
(562) 365-2020
NPI assigned
Sep 4, 2023
Last updated
Sep 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95026411 CA Primary

Addresses

Primary practice location

5199 E Pacific Coast Hwy Ste 330N
Long Beach, CA 90804-3353

Mailing address

5249 W 137TH PL
Hawthorne, CA 90250-6423
Phone (310) 867-3767

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241031001875 CA Practitioner - Nurse Practitioner 2062945801 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advances in Mental Health and Addictions Treatment IncGroup PAC ID 3173844222, 6 clinicians

Practice addresses (Care Compare)

5199 E Pacific Coast Hwy
Suite 330N
Long Beach, CA 90804-3353
Phone (562) 365-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ampla Health CurrentSince Nov 1, 2024 Accepting new patients
Ampla Health CurrentSince Nov 1, 2024 Accepting new patients
Advances in Mental Health and Addictions Treatment Inc CurrentSince Aug 25, 2024 Accepting new patients
Ampla Health Current Accepting new patients

Locations

18672 Florida St
Ste 100
Huntington Beach, CA 92648
Phone (714) 596-4705

5199 E Pacific Coast Hwy
Ste 330N
Long Beach, CA 90804
Phone (562) 365-2020

4941 Olivehurst Ave
Olivehurst, CA 95961
Phone (530) 743-4611

1211 Cortina Dr
Orland, CA 95963
Phone (530) 865-5544

2800 Lincoln St
Oroville, CA 95966
Phone (530) 534-7500

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": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1952187296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5249 W 137TH PL",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902506423",
            "telephone_number": "310-867-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5199 E PACIFIC COAST HWY STE 330N",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043353",
            "telephone_number": "562-365-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "RYAN",
        "middle_name": "HAI TRUONG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95026411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.