Active NPI
To Be Primary Care
- Primary Care Clinic/Center
- Los Gatos, CA
National Provider Identifier
1154741783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- A76835
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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
- Michael J Tierney, M.D.
- Heidi Akemi Tiglao, PT
- Tina Wu, MD; Internal Medicine; a Professional Corporation
- Tinnitus and Audiology Clinic of Silicon Valley
- Tinny Quynh Dohn, D.O., Inc.
- Donna S Tokunaga, PHARMD
- Ashley Tolentino
- Nicole-Alexis R Tolentino, PT
- William Henry Tolhurst III, D.C.
- Alex W. Tom, D.D.S.
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.