Individual provider Active NPI

Nam X Nguyen, MD

  • Obstetrics & Gynecology Physician
  • Dublin, CA
National Provider Identifier
1033158704
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A98320 Issued in CA
Practice address
4000 Dublin Blvd
Dublin, CA 94568
Phone
(925) 875-6546
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A98320 CA Primary

Addresses

Primary practice location

4000 Dublin Blvd
Dublin, CA 94568

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408
Phone (925) 875-6546

Other practice location 1

350 John Muir Pkwy
Brentwood, CA 94513-5183
Phone (925) 513-2483

Other practice location 2

350 John Muir Pkwy
Brentwood, CA 94513-5183
Phone (925) 513-2483

Other practice location 3

4053 Lone Tree Way Ste 100
Antioch, CA 94531-6210
Phone (925) 756-3400

Other identifiers 1

IdentifierTypeStateIssuer
A98320OtherCASTATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080311000292 CA Practitioner - Obstetrics/Gynecology 1052348844 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Virginia Commonwealth University, School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

4053 Lone Tree Way
Suite 100
Antioch, CA 94531-6210
Phone (925) 756-3400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A98320CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vepema Laborist Medical Group, Inc. Obstetrics & Gynecology CurrentSince Jul 1, 2020 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Merced Hospitalist Medical Group, Inc. CurrentSince May 26, 2020 Accepting new patients
Sutter Bay Medical Foundation Obstetrics & Gynecology CurrentSince Sep 23, 2019 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Sep 23, 2019 Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients
Stanford Health Care Tri-Valley Past Accepting new patients
Sutter Delta Medical Center Past Accepting new patients
Sutter Tracy Community Hospital Past Accepting new patients
Sutter East Bay Medical Foundation Obstetrics & Gynecology Past Accepting new patients
Kettering Medical Center Past Accepting new patients

Locations

4053 Lone Tree Way
Ste 100
Antioch, CA 94531
Phone (925) 756-3400

350 John Muir Pkwy
Ste 105
Brentwood, CA 94513
Phone (925) 513-2483

4000 Dublin Blvd
Dublin, CA 94568
Phone (510) 498-2374

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

2350 W El Camino Real
Fl 2
Mountain View, CA 94040
Phone (650) 691-6174

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

2128 Soquel Ave
Santa Cruz, CA 95062
Phone (831) 425-0727

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

1551 Bishop St
Ste 110
Sn Luis Obisp, CA 93401
Phone (805) 548-8585

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

Interoperability endpoints

  • Direct secure messaging: nnguyen436735@hisp.ehr.sutterhealth.org
  • Direct secure messaging: nam.nguyen.1@10944.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1033158704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408",
            "telephone_number": "925-875-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 DUBLIN BLVD",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "94568",
            "telephone_number": "925-875-6546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 John Muir Pkwy",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "CA",
            "postal_code": "945135183",
            "country_code": "US",
            "telephone_number": "925-513-2483",
            "fax_number": "510-506-7727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 John Muir Pkwy",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "CA",
            "postal_code": "945135183",
            "country_code": "US",
            "telephone_number": "925-513-2483",
            "fax_number": "510-506-7727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4053 Lone Tree Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945316210",
            "country_code": "US",
            "telephone_number": "925-756-3400",
            "fax_number": "510-506-7728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "NAM",
        "middle_name": "X",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A98320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "A98320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, CA

Sources for this page

Verify at the official NPI Registry.