NPIMap

Individual provider Active NPI

Susan T. Nguyen, MD

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1164470696
Registry record updated Apr 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A65791 Issued in CA
Practice address
1770 Post Street Suite 324
San Francisco, CA 94115-3606
Phone
(650) 455-1363
NPI assigned
May 5, 2006
Last updated
Apr 17, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A65791 CA Primary

Addresses

Primary practice location

1770 Post Street Suite 324
San Francisco, CA 94115-3606

Mailing address

1770 Post Street Suite 324
San Francisco, CA 94115-3606
Phone (650) 455-1363

Other identifiers 1

IdentifierTypeStateIssuer
GR0045150MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040629001316 CA Practitioner - Internal MedicinePractitioner - Nephrology 8123004041 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, San Diego School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians

Practice addresses (Care Compare)

250 Bon Air Rd
Greenbrae, CA 94904-1702
Phone (415) 925-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.51 of 100Reported as individual
Quality
96.63
Improvement activities
0
Cost
81.81

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100Reported as group
Quality
65.6
Improvement activities
40
Cost
71.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A65791CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marin Hospitalist Medical Group, Inc. Internal Medicine CurrentSince May 20, 2014 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Sep 18, 2024 Accepting new patients
Susan Nguyen MD Inc Internal Medicine CurrentSince Jan 14, 2018 Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients
Galen Inpatient Physicians PC CurrentSince Sep 18, 2024 Accepting new patients
Marin General Hospital Past Accepting new patients
Dialysis Access Center a Medical Corporation PastSince Oct 15, 2023 Accepting new patients
Dialysis Access Center a Medical Corporation PastSince Oct 15, 2023 Accepting new patients
Chabot Nephrology Medical Group, Inc PastSince Nov 4, 1991 Accepting new patients

Locations

250 Bon Air Rd
Rm 3209
Greenbrae, CA 94904
Phone (415) 925-7545

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2000 Vale Rd
San Pablo, CA 94806
Phone (510) 235-7000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIDICD/Endpoint/DIDICD
  • Direct secure messaging: snguyen223503@direct-ucsfmedicalcenter.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
South Marin Health & Wellness CenterGreenbrae, CA, CCN 055093 Skilled nursing facility Adp of the SNF Jan 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Agse, LLC

    dba South Marin Health & Wellness Center

    • Skilled Nursing Facility
    • Greenbrae, CA
    • NPI 1902329782

    Adp of the SNF

    CMS ownership

Organizations & group practices 9

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334620800000",
    "number": "1164470696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 POST STREET SUITE 324",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153606",
            "telephone_number": "650-455-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 POST STREET SUITE 324",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153606",
            "telephone_number": "650-455-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "SUSAN",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2012-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A65791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0045150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.