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ETN MEDICAL INFUSION, INC.
NPI 1972904084
Specialist in Fountain Valley, CA

Active since September 08, 2014CLIA 05D2198486 · Waiver
11100 WARNER AVE STE 158, FOUNTAIN VALLEY, CA 92708(714) 432-8884(714) 432-8885 Get Directions Write a Review

NPPES record last updated: September 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Etn Medical Infusion, Inc. NPPES

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

ETN MEDICAL INFUSION, INC. (NPI 1972904084) is a healthcare organization registered as a specialist in Fountain Valley, California and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through November 1, 2026 and lists Elizabeth Thu Nghiem, President, as its authorized official.

NPPES Registry Identity

NPI1972904084
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameETN MEDICAL INFUSION, INC.
Location Address11100 WARNER AVE STE 158Fountain Valley, CA 92708-7510
Mailing Address11100 Warner Ave Ste 158Fountain Valley, CA 92708-7510 · (714) 432-8884 · Fax (714) 432-8885
Phone(714) 432-8884
Fax(714) 432-8885
Organization SubpartNo
Authorized OfficialElizabeth Thu NghiemPresident · (714) 432-8884
Enumeration DateSeptember 8, 2014
Last NPPES UpdateSeptember 4, 2019
✔ NPI 1972904084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A62911
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
11100 WARNER AVE STE 158, Fountain Valley, CA 92708
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2198486

Etn Medical Infusion Center · Fountain Valley, CA
Active · expires Nov 1, 2026
CLIA Number05D2198486
Laboratory TypePhysician Office
Certificate Effective DateNovember 2, 2024
Certificate Expiration DateNovember 1, 2026
Laboratory DirectorElizabeth T. Nghiem
Laboratory Phone(949) 812-9907
Laboratory LocationEtn Medical Infusion Center11100 Warner Ave Suite #158, Fountain Valley, CA 92708
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DR TUNG NGO, INC
Internal Medicine
11100 WARNER AVE STE 158
FOUNTAIN VALLEY, CA 92708
Orange County (714) 279-0010
SON T. DINH M.D.
Internal Medicine (Nephrology)
11100 WARNER AVE STE 158
FOUNTAIN VALLEY, CA 92708
Orange County (714) 486-2586
DR. ESSAM A MOSTAFA M.D.
Internal Medicine (Nephrology)
11100 WARNER AVE STE 158
FOUNTAIN VALLEY, CA 92708
Orange County (714) 486-2586
PREMIER NEPHROLOGY OF ORANGE COUNTY INC
Internal Medicine (Nephrology)
11100 WARNER AVE STE 158
FOUNTAIN VALLEY, CA 92708
Orange County (714) 486-2586
PHILIP SEUNGWOO YANG MD
Internal Medicine (Nephrology)
11100 WARNER AVE STE 158
FOUNTAIN VALLEY, CA 92708
Orange County (714) 486-2586

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 Etn Medical Infusion, Inc.'s NPI number?

The NPI number for Etn Medical Infusion, Inc. is 1972904084. It was assigned to this organization in the NPPES registry on September 8, 2014.

Where is Etn Medical Infusion, Inc. located?

Etn Medical Infusion, Inc. is located at 11100 Warner Ave Ste 158, Fountain Valley, CA 92708. The listed phone number is (714) 432-8884.

What is Etn Medical Infusion, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Etn Medical Infusion, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2198486) is associated with this NPI, valid through November 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Etn Medical Infusion, Inc. was last updated on September 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.