Individual provider Active NPI

Thinh Van Nguyen, M.D.

  • Internal Medicine Physician
  • San Jose, CA
National Provider Identifier
1073759163
Registry record updated Dec 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C41885 Issued in CA
Practice address
2470 Alvin Ave
Suite 70
San Jose, CA 95121-1664
Phone
(408) 223-0505
Fax
(408) 223-9791
NPI assigned
Dec 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C41885 CA Primary

Addresses

Primary practice location

2470 Alvin Ave
Suite 70
San Jose, CA 95121-1664

Mailing address

2470 Alvin Ave
Suite 70
San Jose, CA 95121-1664
Phone (408) 223-0505

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
I20081219000587 CA Practitioner - Internal Medicine 0840352126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at Houston, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Health Medical FoundationGroup PAC ID 3870907843, 12 clinicians

Practice addresses (Care Compare)

227 N Jackson Ave
Suite 235
San Jose, CA 95116-1603

227 N Jackson Ave
Suite 235
San Jose, CA 95116-1635
Phone (408) 279-2377

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C41885CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
One Health Medical Foundation Internal Medicine CurrentSince Oct 1, 2021 Accepting new patients
County of Santa Clara Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
One Health Primary Care LLC Internal Medicine Past Accepting new patients

Locations

227 N Jackson Ave
Ste 235
San Jose, CA 95116
Phone (408) 254-9192

2611 Senter Rd
Ste 238
San Jose, CA 95111
Phone (408) 281-3889

1661 Burdette Dr
Ste N
San Jose, CA 95121
Phone (408) 270-4582

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229644800000",
    "number": "1073759163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 ALVIN AVE",
            "address_2": "SUITE 70",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211664",
            "telephone_number": "408-223-0505",
            "fax_number": "408-223-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 ALVIN AVE",
            "address_2": "SUITE 70",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211664",
            "telephone_number": "408-223-0505",
            "fax_number": "408-223-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THINH",
        "middle_name": "VAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-19",
        "last_updated": "2008-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C41885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.