Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jaylene Thien Nguyen, PA-C

Individual provider Physician Assistant · NPI 1720542665

Jaylene Thien Nguyen, PA-C is a Physician Assistant in Santa Ana, California. Qualified in 2018, 8 years ago. Practices with Chanukya Dasari MD a Professional Corporation, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1401 W 1st St Ste 101
Santa Ana, CA 92703-3757
Phone: (714) 542-9700
Fax: (714) 542-9708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11190 Warner Ave Ste 300, Fountain Valley, CA 92708-4045 — (714) 241-7000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA56476 (CA)

Record details

NPI number1720542665
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 24, 2019
Last updated in NPPESOctober 24, 2023
Certification dateOctober 24, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Chanukya Dasari Md A Professional Corporation — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Santa Ana