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

Gia Han Ngoc Nguyen

Individual provider Pediatric Nurse Practitioner · NPI 1114688876

Gia Han Ngoc Nguyen is a Nurse Practitioner in San Dimas, California. Qualified in 2021, 5 years ago. Practices with Seattle Childrens Hospital, a 111-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2022

Practice location Address checks out

1330 W Covina Blvd Ste 105106
San Dimas, CA 91773-3200
Phone: (626) 963-7675
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 95019533 (CA)

Record details

NPI number1114688876
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 5, 2022
Last updated in NPPESJanuary 5, 2022
Certification dateJanuary 5, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Seattle Childrens Hospital — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Dimas