Etn Medical Infusion, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A62911 Issued in CA

Legal business name

ETN MEDICAL INFUSION, INC.

Practice address

11100 Warner Ave Ste 158
Fountain Valley, CA 92708-7510

Phone

(714) 432-8884

Fax

(714) 432-8885

NPI assigned

Sep 8, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Thu Nghiem, M.D.

Title

President

Phone

(714) 432-8884

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Y Nghiem, M.D.

  • Infectious Disease Physician
  • Fountain Valley, CA
  • NPI 1083626212
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1972904084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE STE 158",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087510",
            "telephone_number": "714-432-8884",
            "fax_number": "714-432-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE STE 158",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087510",
            "telephone_number": "714-432-8884",
            "fax_number": "714-432-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETN MEDICAL INFUSION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-08",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "NGHIEM",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "THU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-432-8884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A62911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Esquivel
• Esther Komanapalli MD Inc
• Clara Melissa Estrada
• Erica Elisa Estrada
• Ethos Med-Legal Evaluations, LLC
• Euclid Outpatient Surgery Center
• Euclid Outpatient Surgical Centre
• European Outpatient Surgery Center
• Robert Jr Evangelista
• Patricia A. Evans, CNM

• Specialist in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.