Individual provider Active NPI

Thang Cao Nguyen, M.D.

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1003972605
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A91713 Issued in CA
Practice address
160 Capp St
San Francisco, CA 94110-1210
Phone
(415) 621-8051
NPI assigned
Dec 28, 2006
Last updated
Sep 10, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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 A91713 CA Primary

Addresses

Primary practice location

160 Capp St
San Francisco, CA 94110-1210

Mailing address

160 Capp St
San Francisco, CA 94110-1210
Phone (415) 621-8051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101027001280 CA Practitioner - Family Practice 0941493795 Reassigns benefits to 1 organization
I20180126001011 CA Practitioner - Family Practice 0941493795 Practice locations: San Mateo, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A91713CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Verity Medical Foundation CurrentSince Jul 1, 2013 Accepting new patients
DCHS Medical Foundation Family Medicine CurrentSince Jul 1, 2013 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
Charonis Chiropractic Corporation Family Medicine PastSince Aug 22, 2010 Accepting new patients

Locations

25455 Medical Center Dr
Ste 200
Murrieta, CA 92562
Phone (951) 894-7056

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

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1003972605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 CAPP ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941101210",
            "telephone_number": "415-621-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CAPP ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941101210",
            "telephone_number": "415-621-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THANG",
        "middle_name": "CAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A91713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.