Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ned Premyodhin, MD

Individual provider Interventional Cardiology Physician · NPI 1669976585

Dr. Ned Premyodhin, MD is an Interventional Cardiology in Fullerton, California. Graduated from University of Arizona College of Medicine in 2018, 8 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
8
Trained at
University of Arizona College of Medicine
Licensed in
CA
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 E Valencia Mesa Dr Ste 206
Fullerton, CA 92835-3817
Phone: (714) 446-5050
Fax: (714) 446-5150
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence A166671 (CA)

Record details

NPI number1669976585
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2018
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025
Mailing address100 E Valencia Mesa Dr Ste 206, Fullerton, CA 92835-3817

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesINTERNAL MEDICINE
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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