Organization Active NPI

Hoang M Nguyen DO Inc

  • Interventional Cardiology Physician
  • San Jose, CA
National Provider Identifier
1144775198
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
20A10655 Issued in CA
Legal business name
HOANG M NGUYEN DO INC
Practice address
175 N Jackson Ave
Ste 210
San Jose, CA 95116-1909
Phone
(408) 708-7053
Fax
(408) 708-7189
NPI assigned
Aug 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Authorized official

Name
Hoang M Nguyen, D.O.NPI 1790995975
Title
Owner
Phone
(408) 418-1582

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
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X 20A10655 CA Primary

Addresses

Primary practice location

175 N Jackson Ave
Ste 210
San Jose, CA 95116-1909

Mailing address

175 N Jackson Ave
Ste 210
San Jose, CA 95116-1909
Phone (408) 708-7053

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170705002409 CA Part B Supplier - Clinic/Group Practice 4880963974 Receives reassigned benefits from 1 practitioner
Practice locations: San Jose, CA; Hollister, CA

National Provider Directory

National Provider Directory

Locations

321 San Felipe Rd
Ste 13
Hollister, CA 95023
Phone (408) 708-7053

2360 McKee Rd
Ste B9
San Jose, CA 95116

175 N Jackson Ave
Ste 210
San Jose, CA 95116
Phone (408) 708-7053

2360 McKee Rd
#B9
San Jose, CA 95116

2360 McKee Rd
Ste 9
San Jose, CA 95116
Phone (408) 708-7053

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": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1144775198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 N JACKSON AVE",
            "address_2": "STE 210",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161909",
            "telephone_number": "408-708-7053",
            "fax_number": "408-708-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N JACKSON AVE",
            "address_2": "STE 210",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161909",
            "telephone_number": "408-708-7053",
            "fax_number": "408-708-7189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOANG M NGUYEN DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HOANG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-418-1582",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "20A10655",
            "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 Aug 19, 2016; 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.