Active NPI
Chan-Quan Nguyen
- Clinical Social Worker
- Daly City, CA
National Provider Identifier
1063006229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 126611
- Practice address
- 2001 Junipero Serra Blvd
Daly City, CA 94014-3891 - Phone
- (650) 991-6200
- NPI assigned
- Feb 26, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 99753 | CA | |
| Clinical Social Worker | 1041C0700X | 126611 | CA | Primary |
Addresses
Primary practice location
2001 Junipero Serra Blvd
Daly City, CA 94014-3891
Mailing address
23 Miramar Ave
San Francisco, CA 94112-2251
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1063006229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 MIRAMAR AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941122251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 JUNIPERO SERRA BLVD",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940143891",
"telephone_number": "650-991-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "CHAN-QUAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-26",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "99753",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "126611",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "The Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "2001 Junipero Serra Blvd",
"city": "Daly City",
"state": "CA",
"country_code": "US",
"postal_code": "940143891",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.