Linda Lam Nguyen, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA23138 Issued in CA

Practice address

325 Sharon Park Dr Ste D2
Menlo Park, CA 94025-6804

Phone

(650) 482-7546

NPI assigned

Apr 16, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

• Khosla Dermatology, Inc.

  • Dermatology Physician
  • Redwood City, CA
  • NPI 1508583790
  Medicare reassignment

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1104670108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 SHARON PARK DR STE D2",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940256804",
            "telephone_number": "650-482-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SHARON PARK DR STE D2",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940256804",
            "telephone_number": "650-482-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LINDA",
        "middle_name": "LAM",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA23138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Thu Ngo, M.S., BCBA
• Alexander Phong Nguyen, MD
• Chaulong Thi Nguyen, DDS MAGD
• Jenna Thuc-Uyen Nguyen, MD
• Jennifer Nguyen
• Paul Nguyen
• Thao Thu Nguyen, PHARMD
• Trung Nguyen, M.D.
• Tu Anh Nguyen, MD
• Lindsay Robin Nichols, ARNP, CNM

• Physician Assistant in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.