Organization Active NPI

Nicole Hong Phuong T. Thai , M.D., Inc

  • Internal Medicine Physician
  • San Jose, CA
National Provider Identifier
1184633430
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A47898 Issued in CA
Legal business name
NICOLE HONG PHUONG T. THAI , M.D., INC
Practice address
200 Jose Figueres Ave
Suite 355
San Jose, CA 95116
Phone
(408) 928-5656
Fax
(408) 928-5626
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Authorized official

Name
Dr. Nicole Hong Phuong Thai, M.D.
Title
President
Phone
(408) 928-5656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A47898 CA Primary

Addresses

Primary practice location

200 Jose Figueres Ave
Suite 355
San Jose, CA 95116

Mailing address

200 Jose Figueres Ave
Suite 355
San Jose, CA 95116
Phone (408) 928-5656

Other names 1

  • Nicole Thai M.D., Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

2451 S King Rd
Ste D
San Jose, CA 95122
Phone (408) 238-6357

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1184633430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE",
            "address_2": "SUITE 355",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95116",
            "telephone_number": "408-928-5656",
            "fax_number": "408-928-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE",
            "address_2": "SUITE 355",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95116",
            "telephone_number": "408-928-5656",
            "fax_number": "408-928-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE HONG PHUONG T. THAI , M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "THAI",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "HONG PHUONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-928-5656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A47898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nicole Thai M.D., Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.