Individual provider Active NPI

Vinh Q Thai, MD

  • Psychiatry Physician
  • Milpitas, CA
National Provider Identifier
1205859758
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G74820 Issued in CA
Practice address
1636 Watson CT
Milpitas, CA 95035-6822
Phone
(650) 714-7595
Fax
(669) 235-8105
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G74820 CA Primary

Addresses

Primary practice location

1636 Watson CT
Milpitas, CA 95035-6822

Mailing address

1636 Watson CT
Milpitas, CA 95035-6822
Phone (650) 714-7595

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050120000652 CA Practitioner - Psychiatry 4385693910 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Kansas School of Med (KC/Wich/Sal), 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Santa ClaraGroup PAC ID 1254244973, 1,000 clinicians

Practice addresses (Care Compare)

143 N Main St
Vly HLTH C Milpitas
Milpitas, CA 95035-4322
Phone (408) 885-5000

1636 Watson CT
Milpitas, CA 95035-6822
Phone (650) 714-7595

1991 McKee Rd
San Jose, CA 95116-1406
Phone (408) 885-7366

1993 McKee Rd
San Jose, CA 95116-1406
Phone (408) 885-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G74820CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Feb 27, 2017 Accepting new patients
County of Santa Clara CurrentSince Feb 27, 2017 Accepting new patients
County of Santa Clara Current Accepting new patients
Revervale Psychotherapy PC CurrentSince Mar 17, 2025 Accepting new patients

Locations

1636 Watson Ct
Milpitas, CA 95035
Phone (408) 262-9992

871 Enborg Ct
San Jose, CA 95128
Phone (408) 885-6100

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

820 Enborg Ct
San Jose, CA 95128
Phone (408) 885-6161

1650 Las Plumas Ave
Ste K
San Jose, CA 95133
Phone (408) 272-6726

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

Interoperability endpoints

  • Direct secure messaging: vthai11622@santaclaravalley.direct-ci.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1205859758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 WATSON CT",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356822",
            "telephone_number": "650-714-7595",
            "fax_number": "669-235-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 WATSON CT",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356822",
            "telephone_number": "650-714-7595",
            "fax_number": "669-235-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAI",
        "first_name": "VINH",
        "middle_name": "Q",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G74820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

Verify at the official NPI Registry.