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

Nathan Thien Phuc Ngo

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1043935380

Nathan Thien Phuc Ngo is a Nurse Practitioner in Orange, California. Qualified in 2022, 4 years ago. Practices with Progeny Psychiatric Clinic a Medical Corporation, a 33-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

265 S Anita Dr Ste 102-104
Orange, CA 92868-3355
Phone: (310) 945-3350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95025180 (CA)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 95220955 (CA)

Record details

NPI number1043935380
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 10, 2022
Last updated in NPPESJune 22, 2024
Certification dateJune 22, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Progeny Psychiatric Clinic A Medical Corporation — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Orange