NPIMap

Individual provider Active NPI

Khoi Duc Nguyen, MD, DO

  • Family Medicine Physician
  • Arcata, CA
National Provider Identifier
1003141102
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A 11589 Issued in CA
Practice address
3800 Janes Rd
Arcata, CA 95521-4742
Phone
(408) 489-4832
NPI assigned
Oct 7, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A 11589 CA Primary

Addresses

Primary practice location

3800 Janes Rd
Arcata, CA 95521-4742

Mailing address

1295 Fulbar CT
San Jose, CA 95132-3022
Phone (408) 489-4832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111207000361 CA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 7012182876 Reassigns benefits to 2 organizations
Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2007
Medicare assignment
May accept Medicare assignment
Group practices
El Camino Health Medical Network LLC 202 clinicians

Practice addresses (Care Compare)

1693 Flanigan Dr
Suite 101
San Jose, CA 95121-1683
Phone (408) 274-1339

815 Pollard Rd
Los Gatos, CA 95032-1438
Phone (408) 866-4070

Hospital & facility affiliations

  • El Camino Health Hospital, Mountain View, CA, CCN 050308

Merit-based Incentive Payment System (MIPS)

Final score
85.48 of 100Reported as group
Quality
80.12
Promoting interoperability
100
Improvement activities
40
Cost
71.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20A 11589CAMDFamily Medicine Physician

Practice roles (11 of 12)

OrganizationSpecialtyStatusNew patients
El Camino Health Medical Network, LLC CurrentSince Jun 25, 2020 Accepting new patients
County of Santa Clara Family Medicine CurrentSince Jun 20, 2019 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Jun 20, 2019 Accepting new patients
El Camino Health Medical Group Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
El Camino Hospital Past Accepting new patients
Hospitalist Medicine Physicians of Monterey County Inc. Past Accepting new patients
El Camino Hospital Past Accepting new patients
Quantum Healthcare Medical Associates Inc. Family Medicine Past Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

9360 No Name Uno
Ste 125
Gilroy, CA 95020
Phone (408) 846-9444

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

625 Lincoln Ave
San Jose, CA 95126
Phone (408) 278-3003

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

2585 Samaritan Dr
San Jose, CA 95124
Phone (408) 278-3003

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: knguyen50788@icare.elcaminohospital.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1003141102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 FULBAR CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951323022",
            "telephone_number": "408-489-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 JANES RD",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214742",
            "telephone_number": "408-489-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KHOI",
        "middle_name": "DUC",
        "credential": "MD, DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-07",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A 11589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcata, CA

Sources for this page

Verify at the official NPI Registry.