NPIMap

Organization Active NPI

Advanced Surgical Associates

  • Surgery Physician
  • San Jose, CA
National Provider Identifier
1013027150
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ADVANCED SURGICAL ASSOCIATES
Practice address
200 Jose Figueres Ave
Suite 225
San Jose, CA 95116-1500
Phone
(408) 929-5610
Fax
(408) 929-5215
NPI assigned
Aug 30, 2006
Last updated
Oct 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Authorized official

Name
Dr. Huy T T Nguyen, D.O.NPI 1588770762
Title
President
Phone
(408) 929-5610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

200 Jose Figueres Ave
Suite 225
San Jose, CA 95116-1500

Mailing address

200 Jose Figueres Ave
Suite 225
San Jose, CA 95116-1500
Phone (408) 929-5610

Other names 1

  • Advanced Surgical Associates A Medical Group Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040908000760 CA Part B Supplier - Clinic/Group Practice 2567438849 Receives reassigned benefits from 12 practitioners
Practice locations: San Jose, CA; Gilroy, CA

National Provider Directory

National Provider Directory

Locations

8833 Monterey Rd
Ste F
Gilroy, CA 95020
Phone (408) 848-3799

763 Altos Oaks Dr
Ste 2
Los Altos Hills, CA 94024
Phone (408) 356-0444

800 Pollard Rd
Bldg C
Los Gatos, CA 95032

105 N Bascom Ave
Ste 2036
San Jose, CA 95128

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540512000000",
    "number": "1013027150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE",
            "address_2": "SUITE 225",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161500",
            "telephone_number": "408-929-5610",
            "fax_number": "408-929-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE",
            "address_2": "SUITE 225",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161500",
            "telephone_number": "408-929-5610",
            "fax_number": "408-929-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2018-10-26",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HUY",
        "authorized_official_middle_name": "T T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-929-5610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Surgical Associates A Medical Group",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Advanced Surgical Associates A Medical Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.