Organization Active NPI

Hai Hoang Nguyen MD Inc

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1093856270
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A344680 Issued in CA
Legal business name
HAI HOANG NGUYEN MD INC
Practice address
210 N Jackson Ave
Suite 20
San Jose, CA 95116-1621
Phone
(408) 251-6127
Fax
(408) 251-8990
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Hai Hoang Nguyen, M.D.NPI 1326079997
Title
Owner
Phone
(408) 251-6127

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A344680 CA Primary

Addresses

Primary practice location

210 N Jackson Ave
Suite 20
San Jose, CA 95116-1621

Mailing address

210 N Jackson Ave
Suite 20
San Jose, CA 95116-1621
Phone (408) 251-6127

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100429000553 CA Part B Supplier - Clinic/Group Practice 3870620479 Receives reassigned benefits from 2 practitioners
Practice locations: San Jose, CA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0607189Hai Hoang Nguyen MD210 N Jackson Avenue Suite 20, San Jose, CA 95116Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

210 N Jackson Ave
Ste 20
San Jose, CA 95116
Phone (408) 251-6127

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1093856270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N JACKSON AVE",
            "address_2": "SUITE 20",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161621",
            "telephone_number": "408-251-6127",
            "fax_number": "408-251-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N JACKSON AVE",
            "address_2": "SUITE 20",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161621",
            "telephone_number": "408-251-6127",
            "fax_number": "408-251-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAI HOANG NGUYEN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HAI",
        "authorized_official_middle_name": "HOANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-251-6127",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A344680",
            "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 Nov 14, 2007; 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.