NICOLAS PHETNIRANH SENGDARA NP-C
NPI 1386123511
Nurse Practitioner - Family in Mission Viejo, CA

Active since August 08, 2018
25272 MARGUERITE PKWY, MISSION VIEJO, CA 92692(949) 581-9120 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 23, 2020, Oct 12, 2020, Nov 20, 2019 and 1 more (4 updates tracked since 2018).

About Nicolas Phetniranh Sengdara Np-c NPPES

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

NICOLAS PHETNIRANH SENGDARA NP-C (NPI 1386123511) is an individual family provider in Mission Viejo, California, licensed in California (95009671) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1386123511
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLAS PHETNIRANH SENGDARACredential: NP-C
Location Address25272 MARGUERITE PKWYMission Viejo, CA 92692-2901
Mailing Address25272 Marguerite PkwyMission Viejo, CA 92692-2901 · (949) 581-9120
Sole ProprietorNo
Enumeration DateAugust 8, 2018
Last NPPES UpdateOctober 23, 20204 updates tracked since enumeration
NPPES CertifiedOctober 23, 2020
NPI 1386123511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95009671
25272 MARGUERITE PKWY, Mission Viejo, CA 92692

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner (Family)
25272 MARGUERITE PKWY
MISSION VIEJO, CA 92692
Nurse Practitioner (Family)
25272 MARGUERITE PKWY
MISSION VIEJO, CA 92692
Pharmacist
25272 MARGUERITE PKWY
MISSION VIEJO, CA 92692
Pharmacist
25272 MARGUERITE PKWY
MISSION VIEJO, CA 92692
Pharmacist
25272 MARGUERITE PKWY
MISSION VIEJO, CA 92692
Pharmacy
25272 MARGUERITE PKWY
MISSION VIEJO, CA 92692
Nurse Practitioner (Family)
25272 MARGUERITE PKWY
MISSION VIEJO, CA 92692
Pharmacist
25272 MARGUERITE PKWY
MISSION VIEJO, CA 92692

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 Nicolas Sengdara's NPI number?

The NPI number for Nicolas Sengdara is 1386123511. It was assigned to this individual provider in the NPPES registry on August 8, 2018.

Where is Nicolas Sengdara located?

Nicolas Sengdara practices at 25272 Marguerite Pkwy, Mission Viejo, CA 92692. The listed phone number is (949) 581-9120.

What is Nicolas Sengdara's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Nicolas Sengdara was last updated on October 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.