Provider Type Icon

MY PHUONG PHAM NGUYEN N.P. NPI 1104218494


NPI Information

NPI: 1104218494
Provider Name: MY PHUONG PHAM NGUYEN, N.P.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: HOAG CLINIC

PECOS Registration: Yes

Address:
1010 W LA VETA AVE
STE 750
ORANGE, CA
ZIP 92868
Phone: (714) 361-6600
Get Directions

My Phuong Pham Nguyen, N.P. is a family nurse practitioner in Orange, CA with 10 years of experience. My Phuong Pham Nguyen, N.P. NPI is 1104218494. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1010 W LA VETA AVE
STE 750
ORANGE, CA
ZIP 92868-300
Phone: (714) 361-6600

The NPI 1104218494 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

The enumeration date for this NPI number is 2/24/2015 and was last updated on 3/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily95001664CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1767746OTHERCALIFORNIARN LICENSE
21912919804OTHERCALIFORNIATYPE 2 NPI
395001664OTHERCALIFORNIANP LICENSE & FURNISHING NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.