DIANA KIM NGOC NGUYEN NP NPI 1356885289

NPI Information

  • NPI: 1356885289
  • Provider Name: DIANA KIM NGOC NGUYEN, NP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10535 HOSPITAL WAY
    MATHER, CA
    ZIP 95655
  • Phone: (916) 843-9491

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NPI Details

Diana Kim Ngoc Nguyen, NP is a psychiatric/mental health nurse practitioner in Mather, CA. Diana Kim Ngoc Nguyen, NP NPI is 1356885289. 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:

10535 HOSPITAL WAY
MATHER, CA
ZIP 95655-200
Phone: (916) 843-9491

The NPI 1356885289 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 enumeration date for this NPI number is 12/12/2016 and was last updated on 8/12/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0809XRegistered NursePsychiatric/Mental Health, Adult95105558CALIFORNIANo
2164X00000XLicensed Vocational Nurse95105558CALIFORNIANo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthNP95012009CALIFORNIAYes

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: 3/30/2025

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