Organization Active NPI

McCarthy Medical Center, Inc

  • Primary Care Clinic/Center
  • Milpitas, CA
National Provider Identifier
1124224738
Registry record updated Jun 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
G077716 Issued in CA
Legal business name
MCCARTHY MEDICAL CENTER, INC
Practice address
246 Ranch Dr
Milpitas, CA 95035-5107
Phone
(408) 263-9936
Fax
(408) 263-9926
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2017

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

Authorized official

Name
Trang D. Nguyen, M.D.NPI 1053324459
Title
Owner
Phone
(408) 263-9936

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
Primary Care Clinic/Center 261QP2300X G077716 CA Primary

Addresses

Primary practice location

246 Ranch Dr
Milpitas, CA 95035-5107

Mailing address

246 Ranch Dr
Milpitas, CA 95035-5107
Phone (408) 263-9936

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050629001129 CA Part B Supplier - Clinic/Group Practice 3476599465 Receives reassigned benefits from 1 practitioner
Practice locations: Milpitas, CA

National Provider Directory

National Provider Directory

Locations

882 N Hillview Dr
Milpitas, CA 95035
Phone (408) 263-9936

Practitioners & affiliated clinicians

Practitioners 1

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": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498176000000",
    "number": "1124224738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 RANCH DR",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950355107",
            "telephone_number": "408-263-9936",
            "fax_number": "408-263-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 RANCH DR",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950355107",
            "telephone_number": "408-263-9936",
            "fax_number": "408-263-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCARTHY MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2017-06-23",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TRANG",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-263-9936",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G077716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; 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.