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

Active since September 08, 2014
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: October 25, 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 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Etn Medical Infusion, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Etn Medical Infusion, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Elizabeth Nghiem, M.D.
Infectious Disease
NPI 1083626212
11160 WARNER AVE SUITE 323
Fountain Valley, CA 92708
(714) 751-7002
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
Expired · 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.

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.

Is Etn Medical Infusion, Inc. enrolled in Medicare?

Yes. Etn Medical Infusion, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Etn Medical Infusion, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Infectious Disease) reassigns their Medicare billing to Etn Medical Infusion, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 7 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.