ANLANH-JENNIFER NGUYEN PA-C
NPI 1104502814
Physician Assistant - Surgical in Upland, CA

Active since June 26, 2023PECOS EnrolledAccepts Medicare Assignment
901 SAN BERNARDINO RD STE 102, UPLAND, CA 91786(909) 579-6721(909) 579-6737 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 22, 2025, Oct 5, 2024, Aug 12, 2024 (3 updates tracked since 2024).

About Anlanh-jennifer Nguyen Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANLANH-JENNIFER NGUYEN PA-C (NPI 1104502814) is an individual surgical provider in Upland, California, licensed in California (PA65643) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fullerton, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1104502814
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameANLANH-JENNIFER NGUYENCredential: PA-C
Location Address901 SAN BERNARDINO RD STE 102Upland, CA 91786-4988
Mailing Address27b Los Coyotes DrPomona, CA 91766-4711 · (909) 538-9052
Fax(909) 579-6737
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 26, 2023
Last NPPES UpdateMay 22, 20253 updates tracked since enumeration
NPPES CertifiedMay 22, 2025
NPI 1104502814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CA · PA65643
901 SAN BERNARDINO RD STE 102, Upland, CA 91786

Secondary Practice Location 1

Location 12575 Yorba Linda BlvdFullerton, CA 92831-1699 · Phone (714) 449-7400

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Anlanh-jennifer Nguyen Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486164860
PECOS Enrollment IDI20250605004139
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
901 SAN BERNARDINO RD STE 102
UPLAND, CA 91786
Nurse Practitioner (Family)
901 SAN BERNARDINO RD STE 102
UPLAND, CA 91786
Physician Assistant (Surgical)
901 SAN BERNARDINO RD STE 102
UPLAND, CA 91786
Nurse Practitioner (Acute Care)
901 SAN BERNARDINO RD STE 102
UPLAND, CA 91786
Physician Assistant (Surgical)
901 SAN BERNARDINO RD STE 102
UPLAND, CA 91786
Thoracic Surgery (Cardiothoracic Vascular Surgery)
901 SAN BERNARDINO RD STE 102
UPLAND, CA 91786
Thoracic Surgery (Cardiothoracic Vascular Surgery)
901 SAN BERNARDINO RD STE 102
UPLAND, CA 91786

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anlanh-jennifer Nguyen's NPI number?

The NPI number for Anlanh-jennifer Nguyen is 1104502814. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Where is Anlanh-jennifer Nguyen located?

Anlanh-jennifer Nguyen practices at 901 San Bernardino Rd Ste 102, Upland, CA 91786. The listed phone number is (909) 579-6721.

What is Anlanh-jennifer Nguyen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Anlanh-jennifer Nguyen enrolled in Medicare?

Yes. Anlanh-jennifer Nguyen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Anlanh-jennifer Nguyen was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.