Lan Tuyet Nguyen, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A716250 Issued in CA

Practice address

135 N Jackson Ave
Suite #101
San Jose, CA 95116

Phone

(408) 923-4145

Fax

(408) 923-4156

NPI assigned

Aug 24, 2005

Reactivated

Apr 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Ophthalmology

Education

University of Pittsburgh School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038

Merit-based Incentive Payment System (MIPS)

Final score

23.97 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

79.89

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: lnguyen125897@santaclaravalley.direct-ci.net
• FHIR API: https://fhir4.healow.com/fhir/r4/AIDACA/Endpoint/AIDACA

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

• Lan Tuyet Nguyen, M.D., Inc.

  • Specialist
  • San Jose, CA
  • NPI 1649228222
  Medicare reassignment NPD Authorized official
• County of Santa Clara

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1063406551
  NPD (past)

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

• County of Santa Clara

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1063406551
  Care Compare affiliation

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1174516264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N JACKSON AVE",
            "address_2": "SUITE #101",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161917",
            "telephone_number": "408-923-4145",
            "fax_number": "408-923-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N JACKSON AVE",
            "address_2": "SUITE #101",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95116",
            "telephone_number": "408-923-4145",
            "fax_number": "408-923-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LAN",
        "middle_name": "TUYET",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2018-07-26",
        "deactivation_date": "2006-03-27",
        "reactivation_date": "2006-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A716250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A716250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lai Duc Nguyen, D.C.
• Lam Nguyen, D.C.
• Lam Duc Nguyen, BA, MSTM, DTEFL
• Lam Son Nguyen
• Lan T Nguyen, DDS
• Larry Nguyen
• Larry Luan Thanh Nguyen, PTA
• Lauren Taylor Nguyen
• Le Hang Nguyen
• Leanna Linh CHI Nguyen, DDS

• Specialist in San Jose, CA
• Providers in San Jose, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.