Christopher Nguyen DO MD a Professional Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

A62877 Issued in CA

Legal business name

CHRISTOPHER NGUYEN DO MD A PROFESSIONAL CORPORATION

Practice address

1569 Lexann Ave
Suite 206
San Jose, CA 95121-1794

Phone

(408) 531-8808

Fax

(408) 531-8940

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Nguyen DO, M.D.

Title

President

Phone

(408) 531-8808

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

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

• Chistopher Nguyen DO, M.D.

  • Internal Medicine Physician
  • San Jose, CA
  • NPI 1407876659
  Medicare reassignment NPD
• Christina Ly Maung

  • Physician Assistant
  • Redwood City, CA
  • NPI 1477021848
  NPD (past)
• Jocelyn Thuy Anh Nguyen, DO

  • Family Medicine Physician
  • San Jose, CA
  • NPI 1326667072
  NPD (past)
• Trisha Vuong

  • Physician Assistant
  • San Jose, CA
  • NPI 1609646884
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1043343650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 LEXANN AVE",
            "address_2": "SUITE 206",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211794",
            "telephone_number": "408-531-8808",
            "fax_number": "408-531-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 LEXANN AVE",
            "address_2": "SUITE 206",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211794",
            "telephone_number": "408-531-8808",
            "fax_number": "408-531-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER NGUYEN DO MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "NGUYEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-531-8808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A62877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A628770",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE I NPI",
            "identifier": "1407876659",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clifford Nels Christian, PH.D.
• Dominique Nicole Christie
• Christine Lee
• Christine W. Liu, DDS, Inc.
• Christine Y Lee Dental Corporation
• Cheryl Christopher
• Alexandria Christopulos, MA, BA, AA
• Alyssa Chu
• Belinda Chu
• Chloe Chu, D.D.S.

• Specialist in San Jose, CA
• Providers in San Jose, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.