Active NPI
Nicole Hong Phuong T. Thai , M.D., Inc
- Internal Medicine Physician
- San Jose, CA
National Provider Identifier
1184633430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A47898
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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.
National Provider Directory
National Provider DirectoryLocations
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.