Organization Active NPI

Silicon Valley Internist Group, Inc

  • Internal Medicine Physician
  • San Jose, CA
National Provider Identifier
1184998122
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SILICON VALLEY INTERNIST GROUP, INC
Practice address
200 Jose Figueres Ave Ste 180
San Jose, CA 95116-1586
Phone
(408) 258-5083
Fax
(408) 258-4347
NPI assigned
Mar 7, 2012
Last updated
Sep 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Authorized official

Name
Tam Hoang NguyenNPI 1962520478
Title
Physician
Phone
(408) 258-5083

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

200 Jose Figueres Ave Ste 180
San Jose, CA 95116-1586

Mailing address

4945 Palemetto Dunes CT
San Jose, CA 95138-2131
Phone (408) 772-7970

Other practice location 1

18181 Butterfield Blvd Ste 180
Morgan Hill, CA 95037-8112
Phone (408) 258-5083

Other practice location 2

920 Sunnyslope Rd
Hollister, CA 95023-5784
Phone (408) 258-5083

Other identifiers 1

IdentifierTypeStateIssuer
20A9636OtherCALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121009000845 CA Part B Supplier - Clinic/Group Practice 9234388117 Receives reassigned benefits from 6 practitioners
Practice locations: Hollister, CA; San Jose, CA; Morgan Hill, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2087016Silicon Valley Internist Group200 Jose Figueres Ave #180, San Jose, CA 95116Certificate of waiverNov 13, 2026

National Provider Directory

National Provider Directory

Locations

200 Jose Figueres Ave
Ste 180
San Jose, CA 95116
Phone (408) 258-5083

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536710400000",
    "number": "1184998122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4945 PALEMETTO DUNES CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951382131",
            "telephone_number": "408-772-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE STE 180",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161586",
            "telephone_number": "408-258-5083",
            "fax_number": "408-258-4347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18181 Butterfield Blvd Ste 180",
            "address_purpose": "LOCATION",
            "city": "Morgan Hill",
            "state": "CA",
            "postal_code": "950378112",
            "country_code": "US",
            "telephone_number": "408-258-5083",
            "fax_number": "408-258-4347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "920 Sunnyslope Rd",
            "address_purpose": "LOCATION",
            "city": "Hollister",
            "state": "CA",
            "postal_code": "950235784",
            "country_code": "US",
            "telephone_number": "408-258-5083",
            "fax_number": "408-258-4347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SILICON VALLEY INTERNIST GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2018-09-12",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TAM",
        "authorized_official_middle_name": "HOANG",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "408-258-5083"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "20A9636",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.