AMANDA NGUYEN
NPI 1649977406
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Q: What is Amanda Nguyen's NPI number?

The NPI number for Amanda Nguyen is 1649977406. It was assigned to this individual provider in the NPPES registry on February 13, 2023.

Q: What is Amanda Nguyen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Nguyen was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since February 13, 2023PECOS Enrolled

4150 V ST # 1100, SACRAMENTO, CA 95817(916) 734-2737 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2023, Feb 13, 2023 (2 updates tracked since 2023).

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About Amanda Nguyen NPPES

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

AMANDA NGUYEN (NPI 1649977406) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1649977406

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameAMANDA NGUYEN

Location Address4150 V ST # 1100Sacramento, CA 95817-1460

Mailing Address4150 V St # 1100Sacramento, CA 95817-1460 · (916) 734-2737

Phone(916) 734-2737

Sole ProprietorYes

Enumeration DateFebruary 13, 2023

Last NPPES UpdateMarch 20, 20232 updates tracked since enumeration

NPPES CertifiedMarch 20, 2023

✔ NPI 1649977406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4150 V ST # 1100, Sacramento, CA 95817

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Secondary Practice Location 1

Location 1885 Tiverton DriveLos Angeles, CA 90095-0001 · Phone (310) 825-6373

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Nguyen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

DANIELLE ZEZOFF

Internal Medicine