Organization Active NPI

To Be Primary Care

  • Primary Care Clinic/Center
  • Los Gatos, CA
National Provider Identifier
1154741783
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A76835 Issued in CA
Legal business name
TO BE PRIMARY CARE
Practice address
15215 National Ave
Ste 104
Los Gatos, CA 95032-2425
Phone
(707) 321-8542
NPI assigned
Apr 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Authorized official

Name
Thao Nguyen, M.D.
Title
President/Ceo
Phone
(707) 321-8542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A76835 CA Primary

Addresses

Primary practice location

15215 National Ave
Ste 104
Los Gatos, CA 95032-2425

Mailing address

PO Box 2266
Cupertino, CA 95015-2266
Phone (707) 321-8542

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1154741783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2266",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950152266",
            "telephone_number": "707-321-8542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15215 NATIONAL AVE",
            "address_2": "STE 104",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322425",
            "telephone_number": "707-321-8542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TO BE PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THAO",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "707-321-8542",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A76835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.