Active NPI
Anthony Nguyen, D.O.
- Emergency Medicine Physician
- Olympia Fields, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 20A17115
- Practice address
- 20201 Crawford Ave
Attn: Postdoctoral Education
Olympia Fields, IL 60461-1010 - Phone
- (708) 747-4000
- NPI assigned
- May 8, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 1124406392 | IL | |
| Emergency Medicine Physician | 207P00000X | 20A17115 | CA | Primary |
Addresses
Primary practice location
20201 Crawford Ave
Attn: Postdoctoral Education
Olympia Fields, IL 60461-1010
Mailing address
855 Folsom St Apt 308
San Francisco, CA 94107-1178
Phone (408) 455-4840
Other practice location 1
13855 E 14th St
San Leandro, CA 94578-2611
Phone (510) 357-6500
Other practice location 2
2070 Clinton Ave
Alameda, CA 94501-4399
Phone (510) 522-3700
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1411 E 31St St
Oakland, CA 94602-1018
Phone (510) 437-4800
2500 Merced St
San Leandro, CA 94577-4201
Phone (510) 454-1000
Hospital & facility affiliations
- Highland Hospital
- Alameda Hospital
- Saint John'S Health Center
- Kaiser Foundation Hospital - San Leandro
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.17 of 100
- Quality
- 86.93
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A17115 | CA | MD | Emergency Medicine Physician |
| 1124406392 | IL | MD | Emergency Medicine Physician |
| 17115 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alameda Health System | Current | Accepting new patients | |
| Permanente Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Alameda Health System | Current | Accepting new patients | |
| Alameda Health System | Current | Accepting new patients | |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Alameda Health System | Past | Accepting new patients |
Locations
2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700
815 Atlantic Ave
Ste 100
Alameda, CA 94501
Phone (510) 522-6637
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
15400 Foothill Blvd
Castro Valley, CA 94578
Phone (510) 346-1468
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
664 Southland Mall
Hayward, CA 94545
Phone (510) 266-1700
1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
501 J St
Sacramento, CA 95814
Phone (916) 497-3000
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500
2500 Merced St
San Leandro, CA 94577
Phone (510) 454-1000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
1425 S Main St
Walnut Creek, CA 94596
Phone (925) 295-4130
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
Interoperability endpoints
- anguyen46868@alamedahs.direct-ci.com
Organizations & group practices 6
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.
-
- Surgery Physician
- Oakland, CA
- NPI 1740332931
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
Emergency Medicine
-
- Clinic/Center
- Alameda, CA
- NPI 1124446158
-
- Federally Qualified Health Center (FQHC)
- Newark, CA
- NPI 1497956288
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1083815872
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1083815872
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1396764353
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1700087590
-
- General Acute Care Hospital
- Alameda, CA
- NPI 1831529049
-
- General Acute Care Hospital
- San Leandro, CA
- NPI 1649605403
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1124026273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643760000000",
"number": "1124406392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 FOLSOM ST APT 308",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941071178",
"telephone_number": "408-455-4840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20201 CRAWFORD AVE",
"address_2": "ATTN: POSTDOCTORAL EDUCATION",
"city": "OLYMPIA FIELDS",
"state": "IL",
"postal_code": "604611010",
"telephone_number": "708-747-4000"
}
],
"practiceLocations": [
{
"address_1": "13855 E 14th St",
"address_purpose": "LOCATION",
"city": "San Leandro",
"state": "CA",
"postal_code": "945782611",
"country_code": "US",
"telephone_number": "510-357-6500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2070 Clinton Ave",
"address_purpose": "LOCATION",
"city": "Alameda",
"state": "CA",
"postal_code": "945014399",
"country_code": "US",
"telephone_number": "510-522-3700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "ANTHONY",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-08",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "1124406392",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "20A17115",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "1425 S Main St",
"city": "Walnut Creek",
"state": "CA",
"country_code": "US",
"postal_code": "945965318",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Olympia Fields, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.