THEODORA PHAM NGUYEN PA-C
NPI 1194303958
Physician Assistant in Irvine, CA

Active since March 31, 2021PECOS EnrolledAccepts Medicare Assignment
1000 FIVEPOINT, IRVINE, CA 92618(800) 826-4673 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 15, 2026, Apr 17, 2024, May 15, 2021 and 1 more (4 updates tracked since 2021).

About Theodora Pham Nguyen Pa-c NPPES

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

THEODORA PHAM NGUYEN PA-C (NPI 1194303958) is an individual physician assistant in Irvine, California, licensed in California (PA59501) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1194303958
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTHEODORA PHAM NGUYENCredential: PA-C
Location Address1000 FIVEPOINTIrvine, CA 92618-2621
Mailing AddressPo Box 512185Los Angeles, CA 90051-0185
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 31, 2021
Last NPPES UpdateJanuary 15, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
NPI 1194303958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA59501
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1000 FIVEPOINT, Irvine, CA 92618

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

Theodora Pham 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 ID3678972882
PECOS Enrollment IDI20210520000834
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
246 services113 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92618 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Anesthesiology
1000 FIVEPOINT
IRVINE, CA 92618
Surgery (Surgical Oncology)
1000 FIVEPOINT, BLDG A
IRVINE, CA 92618
Nurse Practitioner (Acute Care)
1000 FIVEPOINT
IRVINE, CA 92618
Radiology (Vascular & Interventional Radiology)
1000 FIVEPOINT
IRVINE, CA 92618
Internal Medicine (Pulmonary Disease)
1000 FIVEPOINT
IRVINE, CA 92618
Radiology (Diagnostic Radiology)
1000 FIVEPOINT
IRVINE, CA 92618
Internal Medicine (Pulmonary Disease)
1000 FIVEPOINT
IRVINE, CA 92618
Nurse Anesthetist, Certified Registered
1000 FIVEPOINT
IRVINE, CA 92618

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 Theodora Nguyen's NPI number?

The NPI number for Theodora Nguyen is 1194303958. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Where is Theodora Nguyen located?

Theodora Nguyen practices at 1000 Fivepoint, Irvine, CA 92618. The listed phone number is (800) 826-4673.

What is Theodora Nguyen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Theodora Nguyen enrolled in Medicare?

Yes. Theodora 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 Theodora Nguyen was last updated on January 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.