NPIMap

Individual provider Active NPI

Duc Marcel Nguyen, MD

  • Specialist
  • Redwood City, CA
National Provider Identifier
1013013416
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G56493 Issued in CA
Practice address
2900 Whipple Ave
Ste 115
Redwood City, CA 94062-2858
Phone
(650) 365-5996
Fax
(650) 365-0655
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G56493 CA Primary

Addresses

Primary practice location

2900 Whipple Ave
Ste 115
Redwood City, CA 94062-2858

Mailing address

2900 Whipple Ave
Ste 115
Redwood City, CA 94062-2858
Phone (650) 365-5996

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
I20100304000820 CA Practitioner - Orthopedic Surgery 3971648718 Reassigns benefits to 2 organizations
Practice locations: Redwood City, CA

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of California, Davis School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of San MateoGroup PAC ID 9032023171, shared by 15 NPIs, 316 clinicians

Practice addresses (Care Compare)

222 W 39TH Ave
San Mateo, CA 94403-4364
Phone (650) 573-2222

39 Birch St
Suite a
Redwood City, CA 94062-1483
Phone (650) 365-5996

39 Birch St a
Redwood City, CA 94062-1483

Hospital & facility affiliations

  • Pathways Home Health and Hospice Home health agency, Sunnyvale, CA, CCN 057190
  • Sequoia Hospital Hospital, Redwood City, CA, CCN 050197
  • San Mateo Medical Center Hospital, San Mateo, CA, CCN 050113
  • Johns Hopkins Howard County Medical Center Hospital, Columbia, MD, CCN 210048

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G56493CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Mateo CurrentSince Mar 22, 2010 Accepting new patients
County of San Mateo CurrentSince Aug 1, 2017 Accepting new patients
County of San Mateo CurrentSince Mar 22, 2010 Accepting new patients
Bayside Urgent Care and Family Medical Clinic P C PastSince Sep 1, 2002 Accepting new patients
Phillip NG, M.D., Inc Past Accepting new patients

Locations

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

Interoperability endpoints

  • Direct secure messaging: duc.nguyen@chartlogic.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CCBICA/Endpoint/CCBICA
  • Direct secure messaging: dnguyen18961@smch.direct-ci.com

Organizations & group practices 5

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 11

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1013013416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 WHIPPLE AVE",
            "address_2": "STE 115",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940622858",
            "telephone_number": "650-365-5996",
            "fax_number": "650-365-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 WHIPPLE AVE",
            "address_2": "STE 115",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940622858",
            "telephone_number": "650-365-5996",
            "fax_number": "650-365-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DUC",
        "middle_name": "MARCEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G56493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

Verify at the official NPI Registry.