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

Thao Nguyen

Individual provider Family Nurse Practitioner · NPI 1932666955

Thao Nguyen is a Nurse Practitioner in Fountain Valley, California. Qualified in 2018, 8 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2019
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Practice location Address checks out

16040 Harbor Blvd Ste G
Fountain Valley, CA 92708-1327
Phone: (714) 531-7930
Fax: (714) 531-7997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F02190750 (CA)

Record details

NPI number1932666955
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 26, 2019
Last updated in NPPESSeptember 26, 2023
Mailing address9632 Rosebay St, Anaheim, CA 92804-3436

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fountain Valley