| Jaylene Thien Nguyen, PA-C | |
|
1401 W 1st St Ste 101, Santa Ana, CA 92703-3757 | |
| (714) 542-9700 | |
| (714) 542-9708 |
| Full Name | Jaylene Thien Nguyen |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 1401 W 1st St Ste 101, Santa Ana, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720542665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA56476 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chanukya Dasari Md A Professional Corporation | 8224526173 | 11 |
| Quality Wound Care Pc | 1557862711 | 3 |
| Pacific Mobile Wound Care | 1557889854 | 9 |
| Wound Care First Corp | 1850884289 | 6 |
| Perpetual Wound Rescue | 3274034350 | 9 |
| Infinity Mobile Medical Group | 7214466374 | 20 |
| Sharwin Tafazoli Inc | 8729416953 | 59 |
| Entity Name | Sun Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114588704 PECOS PAC ID: 8426388810 Enrollment ID: O20190927001371 |
| Entity Name | Sharwin Tafazoli Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447806278 PECOS PAC ID: 8729416953 Enrollment ID: O20200320002154 |
| Entity Name | Ming-wei Wu Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699975144 PECOS PAC ID: 4284726159 Enrollment ID: O20220223000023 |
| Entity Name | Wound Doctors |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679293724 PECOS PAC ID: 9032585088 Enrollment ID: O20221017003225 |
| Entity Name | Avalon Wound Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972354959 PECOS PAC ID: 4688116312 Enrollment ID: O20240611000181 |
| Entity Name | Derm Lounge PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962260208 PECOS PAC ID: 9133666514 Enrollment ID: O20240802001571 |
| Entity Name | Restore Mobile Wound Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780417790 PECOS PAC ID: 2365973427 Enrollment ID: O20241001002003 |
| Entity Name | Wellness Mobile Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376378810 PECOS PAC ID: 9335672609 Enrollment ID: O20241024002322 |
| Entity Name | Professional Wound Specialists PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437988326 PECOS PAC ID: 2062946163 Enrollment ID: O20241112003749 |
| Entity Name | Oc Health Wellness Group Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396558680 PECOS PAC ID: 8628590262 Enrollment ID: O20250324001665 |
| Entity Name | Pacific Mobile Wound Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952102519 PECOS PAC ID: 1557889854 Enrollment ID: O20250520002674 |
| Entity Name | Quality Wound Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609668961 PECOS PAC ID: 1557862711 Enrollment ID: O20250828004485 |
| Entity Name | Perpetual Wound Rescue |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235921032 PECOS PAC ID: 3274034350 Enrollment ID: O20250829002150 |
| Entity Name | Alp Medical Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518854629 PECOS PAC ID: 1951806140 Enrollment ID: O20250926003691 |
| Entity Name | Chanukya Dasari MD a Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942184817 PECOS PAC ID: 8224526173 Enrollment ID: O20251022002867 |
| Entity Name | Wound Care First Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316829369 PECOS PAC ID: 1850884289 Enrollment ID: O20251204000994 |
| Entity Name | Lev Grinman MD 4 Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740005479 PECOS PAC ID: 5193210995 Enrollment ID: O20251218004401 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaylene Thien Nguyen, PA-C 1401 W 1st St Ste 101, Santa Ana, CA 92703-3757 Ph: (714) 542-9700 | Jaylene Thien Nguyen, PA-C 1401 W 1st St Ste 101, Santa Ana, CA 92703-3757 Ph: (714) 542-9700 |
Carly Akemi Takata, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 5 Hutton Centre Dr Ste 950, Santa Ana, CA 92707 Phone: 855-434-7763 |
Ivonne Landeros, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1710 E 17th St Ste B, Santa Ana, CA 92705 Phone: 714-558-8228 Fax: 714-558-8222 |
Rene Rivera, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2650 S Bristol St Ste 101, Santa Ana, CA 92704 Phone: 714-754-1444 |
Angelica Maria Ross, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1226 N Broadway, Santa Ana, CA 92701 Phone: 714-825-0940 |
Michael Coker, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 801 N Tustin Ave Ste 403, Santa Ana, CA 92705 Phone: 714-285-0014 Fax: 714-285-0018 |
Jennifer Lyn O'herin, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1619 E Edinger Ave, Santa Ana, CA 92705 Phone: 714-542-8904 |
Alicia Tokunaga, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2621 S Bristol St #203, Santa Ana, CA 92707 Phone: 999-999-9999 |