MALLORIE MAI LIEN THI NGUYEN MD
NPI 1912609256
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since March 20, 2023PECOS Enrolled
6911 CONVOY CT FL 2, SAN DIEGO, CA 92111(833) 574-2273 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mallorie Mai Lien Thi Nguyen Md NPPES

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

MALLORIE MAI LIEN THI NGUYEN MD (NPI 1912609256) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1912609256
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMALLORIE MAI LIEN THI NGUYENCredential: MD
Location Address6911 CONVOY CT FL 2San Diego, CA 92111-1014
Mailing Address6911 Convoy Ct Fl 2San Diego, CA 92111-1014
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 20, 2023
Last NPPES UpdateSeptember 26, 2023
NPPES CertifiedMarch 20, 2023
NPI 1912609256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
6911 CONVOY CT FL 2, San Diego, CA 92111

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mallorie Mai Lien Thi Nguyen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800384421
PECOS Enrollment IDI20251024000118
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.

Student in an Organized Health Care Education/Training Program
6911 CONVOY CT FL 2
SAN DIEGO, CA 92111
Student in an Organized Health Care Education/Training Program
6911 CONVOY CT FL 2
SAN DIEGO, CA 92111
Family Medicine
6911 CONVOY CT FL 2
SAN DIEGO, CA 92111
Student in an Organized Health Care Education/Training Program
6911 CONVOY CT FL 2
SAN DIEGO, CA 92111
Student in an Organized Health Care Education/Training Program
6911 CONVOY CT FL 2
SAN DIEGO, CA 92111
Student in an Organized Health Care Education/Training Program
6911 CONVOY CT FL 2
SAN DIEGO, CA 92111
Student in an Organized Health Care Education/Training Program
6911 CONVOY CT FL 2
SAN DIEGO, CA 92111
Student in an Organized Health Care Education/Training Program
6911 CONVOY CT FL 2
SAN DIEGO, CA 92111

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 Mallorie Mai Lien Nguyen's NPI number?

The NPI number for Mallorie Mai Lien Nguyen is 1912609256. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Mallorie Mai Lien Nguyen located?

Mallorie Mai Lien Nguyen practices at 6911 Convoy Ct Fl 2, San Diego, CA 92111. The listed phone number is (833) 574-2273.

What is Mallorie Mai Lien Nguyen's specialty?

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

Is Mallorie Mai Lien Nguyen enrolled in Medicare?

Yes. Mallorie Mai Lien Nguyen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mallorie Mai Lien Nguyen was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.