Individual provider Active NPI

Daniel Duy Nguyen

  • Physician Assistant
  • Fountain Valley, CA
National Provider Identifier
1982410684
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
66959 Issued in CA
Practice address
11190 Warner Ave Ste 408
Fountain Valley, CA 92708-4047
Phone
(714) 430-1414
Fax
(714) 430-1486
NPI assigned
Dec 6, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 66959 CA Primary

Addresses

Primary practice location

11190 Warner Ave Ste 408
Fountain Valley, CA 92708-4047

Mailing address

11190 Warner Ave Ste 408
Fountain Valley, CA 92708-4047
Phone (714) 430-1414

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
I20260219001526 CA Practitioner - Physician Assistant 5597245357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11190 Warner Ave
Suite 408
Fountain Valley, CA 92708-4047
Phone (714) 430-1414

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66959CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Vascular and Endovascular Surgery Center Inc CurrentSince Dec 30, 2025 Accepting new patients
Orange County Vascular & Endovascular Surgery Center, Inc. CurrentSince Dec 30, 2025 Accepting new patients

Locations

11190 Warner Ave
Ste 408
Fountain Vly, CA 92708
Phone (714) 430-1414

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1982410684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11190 WARNER AVE STE 408",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084047",
            "telephone_number": "714-430-1414",
            "fax_number": "714-430-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11190 WARNER AVE STE 408",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084047",
            "telephone_number": "714-430-1414",
            "fax_number": "714-430-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DANIEL",
        "middle_name": "DUY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-06",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "66959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.