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

Stanley Nguyen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164954145

Stanley Nguyen is an Internal Medicine in Fountain Valley, California. Qualified in 2018, 8 years ago. Practices with Memorialcare Medical Foundation, a 562-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2017
Specialties on file
2

Practice location Address checks out

17360 Brookhurst St
Fountain Valley, CA 92708-3720
Phone: (949) 340-9530
Fax: (714) 665-1797
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 20A17845 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1164954145
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 30, 2017
Last updated in NPPESAugust 16, 2021
Certification dateAugust 16, 2021
Mailing address17360 Brookhurst St, Fountain Valley, CA 92708-3720

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Memorialcare Medical Foundation — 562 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fountain Valley