Individual provider Active NPI

Phuong Christine Nguyen, M.D.

  • Pediatric Gastroenterology Physician
  • Palo Alto, CA
National Provider Identifier
1154342871
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
A83319 Issued in CA
Practice address
750 Welch Rd
Suite 116
Palo Alto, CA 94304-1507
Phone
(650) 723-5070
Fax
(650) 498-5608
NPI assigned
Jul 21, 2006
Last updated
Jun 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A83319 CA
Pediatric Gastroenterology Physician 2080P0206X A83319 CA Primary

Addresses

Primary practice location

750 Welch Rd
Suite 116
Palo Alto, CA 94304-1507

Mailing address

750 Welch Rd
Suite 116
Palo Alto, CA 94304-1507
Phone (650) 723-5070

Other practice location 1

455 OConnor Dr
San Jose, CA 95128-1633
Phone (408) 283-7676

Other practice location 2

1642 E Capitol Expy
San Jose, CA 95121-1800
Phone (408) 445-3431

Other practice location 3

2039 Forest Ave Ste 105
San Jose, CA 95128-4815
Phone (408) 947-2929

Other practice location 4

1333 Meridian Ave
San Jose, CA 95125-5212
Phone (408) 445-3400

Other names 1

  • Dr. Christine Nguyen Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060821000461 CA Practitioner - Pediatric MedicinePractitioner - Gastroenterology 3274536842 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A83319CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara Pediatrics CurrentSince Jan 2, 2017 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Jan 2, 2017 Accepting new patients
County of Santa Clara Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Dignity Health Past Accepting new patients
Lucile Salter Packard Children's Hospital at Stanford Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Indian Health Center of Santa Clara Valley Past Accepting new patients
Childrens Hospital of the Kings Daughters Inc Past Accepting new patients

Locations

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

Interoperability endpoints

  • Direct secure messaging: pnguyen65654@santaclaravalley.direct-ci.net

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1154342871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 WELCH RD",
            "address_2": "SUITE 116",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041507",
            "telephone_number": "650-723-5070",
            "fax_number": "650-498-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 WELCH RD",
            "address_2": "SUITE 116",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041507",
            "telephone_number": "650-723-5070",
            "fax_number": "650-498-5608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 OConnor Dr",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951281633",
            "country_code": "US",
            "telephone_number": "408-283-7676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1642 E Capitol Expy",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951211800",
            "country_code": "US",
            "telephone_number": "408-445-3431",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2039 Forest Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951284815",
            "country_code": "US",
            "telephone_number": "408-947-2929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1333 Meridian Ave",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951255212",
            "country_code": "US",
            "telephone_number": "408-445-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PHUONG",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A83319",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "CA",
            "license": "A83319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "NGUYEN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.