Ryan Hai Truong Nguyen
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Long Beach, CA
NPI 1952187296 · NPPES record last updated Sep 4, 2023
Key facts
- NPI
- 1952187296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 95026411 (CA)
- Practice address
- 5199 E Pacific Coast Hwy Ste 330N
Long Beach, CA 90804-3353 - Phone
- (562) 365-2020
- NPI assigned
- Sep 4, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- 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 Inc
Practice addresses (Care Compare)
5199 E Pacific Coast Hwy
Suite 330N
Long Beach, CA 90804-3353
Phone (562) 365-2020
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241031001875 | CA | Practitioner - Nurse Practitioner | 2062945801 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ampla Health | Current | Accepting new patients | |
| Advances in Mental Health and Addictions Treatment Inc | Current |
Accepting new patients | |
| Ampla Health | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95026411 | CA | Yes |
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
Other providers in Long Beach, CA
- Phuongthao Ngoc Nguyen
- Phuongtrinh Ngoc Nguyen
- Randall L Nguyen
- Randy Nguyen
- Richard Nguyen
- Ryan Quochu Nguyen
- Son C Nguyen
- Son Truong Nguyen
- Son Truong Nguyen
- Tammy-Thuyet Nguyen
All providers in Long Beach, CA · Psychiatric/Mental Health Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.