Individual provider Active NPI

Thai Nguyen, FNP-C

  • Nurse Practitioner
  • Chino Hills, CA
National Provider Identifier
1982206876
Registry record updated Nov 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F09201678 Issued in CA
Practice address
13850 City Center Dr Ste 5045
Chino Hills, CA 91709-5416
Phone
(909) 645-0429
NPI assigned
Nov 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F09201678 CA Primary

Addresses

Primary practice location

13850 City Center Dr Ste 5045
Chino Hills, CA 91709-5416

Mailing address

PO Box 10776
San Bernardino, CA 92423-0776

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
I20210629002019 CA Practitioner - Nurse Practitioner 5496156333 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Rehab Consultants California IncGroup PAC ID 0547499865, 39 clinicians

Practice addresses (Care Compare)

25383 Cole St
Loma Linda, CA 92354-3103
Phone (312) 635-0973

275 Garnet Way
Upland, CA 91786-5932
Phone (909) 949-4887

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F09201678CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Myndfull Care California PC CurrentSince Feb 6, 2024 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jul 15, 2021 Accepting new patients
Bay View Health Solutions CurrentSince Mar 3, 2025 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jul 15, 2021 Accepting new patients
Del Sur Healthcare CurrentSince Nov 1, 2024 Accepting new patients
Myndfull Care Management California PC CurrentSince Dec 1, 2022 Accepting new patients
Integrated Rehab Consultants California Inc CurrentSince Nov 1, 2025 Accepting new patients
Geri Connection CurrentSince May 6, 2023 Accepting new patients

Locations

81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830

1999 S Bascom Ave
Ste 700
Campbell, CA 95008
Phone (760) 978-8596

436 S Magnolia Ave
Ste 101
El Cajon, CA 92020
Phone (760) 978-8596

7534 Palm Ave
Highland, CA 92346
Phone (909) 862-0611

25383 Cole St
Loma Linda, CA 92354
Phone (909) 796-0235

11370 Anderson St
Ste 2100
Loma Linda, CA 92354
Phone (909) 558-2824

25845 Barton Rd
Ste F
Loma Linda, CA 92354
Phone (909) 558-2828

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

26520 Cactus Ave
Ste 2021
Moreno Valley, CA 92555
Phone (951) 486-5700

28078 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

7716 W Manchester Ave
Playa del Rey, CA 90293
Phone (310) 823-4694

15644 Pomerado Rd
Ste 202
Poway, CA 92064
Phone (619) 320-8090

1620 W Fern Ave
Redlands, CA 92373
Phone (909) 793-2196

3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224

8445 Camino Santa Fe
Ste 215
San Diego, CA 92121
Phone (619) 541-3246

8647 Fenwick St
Sunland, CA 91040
Phone (818) 352-1421

44274 George Cushman Ct
Ste 208
Temecula, CA 92592
Phone (951) 501-4200

275 Garnet Way
Upland, CA 91786
Phone (909) 449-4887

901 San Bernardino Rd
Ste 104
Upland, CA 91786
Phone (909) 542-2779

1224 Rossmoor Pkwy
Walnut Creek, CA 94595
Phone (925) 937-7450

9436 W Lake Mead Blvd
Ste 5
Las Vegas, NV 89134
Phone (702) 328-7648

Interoperability endpoints

  • Direct secure messaging: tnguyen402240@direct.llu.edu

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605398400000",
    "number": "1982206876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10776",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924230776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13850 CITY CENTER DR STE 5045",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095416",
            "telephone_number": "909-645-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THAI",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-15",
        "last_updated": "2020-11-15",
        "certification_date": "2020-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "F09201678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

Verify at the official NPI Registry.