Individual provider Active NPI

Viet Anh Nguyen

  • Behavior Technician
  • Corona, CA
National Provider Identifier
1992364210
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
Y8797289 Issued in CA
Practice address
802 Magnolia Ave Ste 202
Corona, CA 92879-3144
Phone
(951) 686-2020
NPI assigned
Jun 11, 2019
Reactivated
Jun 16, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Y8797289 CA Primary

Addresses

Primary practice location

802 Magnolia Ave Ste 202
Corona, CA 92879-3144

Mailing address

4997 Brookhill PL
Riverside, CA 92507-5911
Phone (415) 412-7516

Other practice location 1

4997 Brookhill Pl
Riverside, CA 92507-5911
Phone (415) 412-7516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
Y8797289CAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1992364210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4997 BROOKHILL PL",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925075911",
            "telephone_number": "415-412-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 MAGNOLIA AVE STE 202",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793144",
            "telephone_number": "951-686-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4997 Brookhill Pl",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925075911",
            "country_code": "US",
            "telephone_number": "415-412-7516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VIET",
        "middle_name": "ANH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-11",
        "last_updated": "2025-06-16",
        "certification_date": "2023-07-03",
        "deactivation_date": "2023-07-03",
        "reactivation_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "Y8797289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.