Organization Active NPI

Ngon Hoang Dinh DO a Professional Corporation

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • San Jose, CA
National Provider Identifier
1013065473
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
20A6290 Issued in CA
Legal business name
NGON HOANG DINH DO A PROFESSIONAL CORPORATION
Practice address
200 Jose Figueres Ave Ste 290
San Jose, CA 95116-1587
Phone
(408) 251-9700
Fax
(408) 251-9799
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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

Authorized official

Name
Ngon Hoang Dinh, D.O.NPI 1730156027
Title
President
Phone
(408) 279-6700

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
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0007X 20A6290 CA Primary

Addresses

Primary practice location

200 Jose Figueres Ave Ste 290
San Jose, CA 95116-1587

Mailing address

PO Box 3674
San Jose, CA 95156-3674
Phone (408) 279-6700

Other identifiers 1

IdentifierTypeStateIssuer
00AX62900MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071222000029 CA Part B Supplier - Clinic/Group Practice 3072603471 Receives reassigned benefits from 1 practitioner
Practice locations: San Jose, CA

National Provider Directory

National Provider Directory

Locations

200 Jose Figueres Ave
Ste 290
San Jose, CA 95116
Phone (408) 251-9700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514937600000",
    "number": "1013065473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3674",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951563674",
            "telephone_number": "408-279-6700",
            "fax_number": "408-279-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE STE 290",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161587",
            "telephone_number": "408-251-9700",
            "fax_number": "408-251-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGON HOANG DINH DO A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2018-01-03",
        "status": "A",
        "authorized_official_last_name": "DINH",
        "authorized_official_first_name": "NGON",
        "authorized_official_middle_name": "HOANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-279-6700",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "CA",
            "license": "20A6290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX62900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 3, 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.