Organization Active NPI

Nong Group

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1063110526
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NONG GROUP
Practice address
3287 Mount Logan Dr
San Jose, CA 95127-4825
Phone
(808) 391-8905
NPI assigned
Feb 23, 2023
Last updated
Feb 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Authorized official

Name
Nong Dang, MDNPI 1891221008
Title
MD
Phone
(808) 391-8905

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
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

3287 Mount Logan Dr
San Jose, CA 95127-4825

Mailing address

3287 Mount Logan Dr
San Jose, CA 95127-4825
Phone (808) 391-8905

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230516003301 CA Part B Supplier - Clinic/Group Practice 8820454978 Receives reassigned benefits from 3 practitioners
Practice locations: San Jose, CA

National Provider Directory

National Provider Directory

Locations

429 S Main St
Milpitas, CA 95035
Phone (408) 719-1975

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1063110526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3287 MOUNT LOGAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951274825",
            "telephone_number": "808-391-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3287 MOUNT LOGAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951274825",
            "telephone_number": "808-391-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NONG GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "NONG",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "808-391-8905",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 23, 2023; 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.