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

Phong Kieu, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1295495737

Phong Kieu, NP is a Nurse Practitioner in Santa Ana, California. Qualified in 2021, 5 years ago. Practices with Oceanside Medical Group a Medical Corporation, an 18-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

202 W Harvey Ave
Santa Ana, CA 92707-4420
Phone: (714) 507-8008
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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 95019542 (CA)

Record details

NPI number1295495737
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedDecember 25, 2021
Last updated in NPPESDecember 25, 2021
Certification dateJune 18, 2021

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 Oceanside Medical Group A Medical Corporation — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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