Individual provider Active NPI

Nang Nguyen, D.O.

  • Surgery Physician
  • San Jose, CA
National Provider Identifier
1043326226
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
20A8813 Issued in CA
Practice address
200 Jose Figueres Ave
Suite 225
San Jose, CA 95116-1500
Phone
(408) 929-5610
Fax
(408) 929-5215
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 20A8813 CA 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

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
I20040715000607 CA Practitioner - General Surgery 5597744359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Advanced Surgical AssociatesGroup PAC ID 2567438849, 6 clinicians

Practice addresses (Care Compare)

200 Jose Figueres Ave
Suite 225
San Jose, CA 95116-1588
Phone (408) 929-5610

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A8813CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Surgical Associates Surgery CurrentSince Jul 1, 2005 Accepting new patients
The Good Samaritan Hospital of Lebanon, Pennsylvania Past Accepting new patients
Delaware County Memorial Hospital Past Accepting new patients
County of Santa Clara Past Accepting new patients
El Camino Hospital Past Accepting new patients
St. Mary'S Good Samaritan Hospital, Inc. Past Accepting new patients

Locations

8833 Monterey Rd
Ste F
Gilroy, CA 95020
Phone (408) 729-2900

200 Jose Figueres Ave
Ste 225
San Jose, CA 95116
Phone (408) 223-7474

175 N Jackson Ave
Ste 100
San Jose, CA 95116
Phone (408) 929-5610

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11955/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nnguyen101749@santaclaravalley.direct-ci.net

Organizations & group practices 6

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 1

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1043326226",
    "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": {
        "last_name": "NGUYEN",
        "first_name": "NANG",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "20A8813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.