Individual provider Active NPI

Vu Hoang Nguyen, D.O.

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1225063290
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A7979 Issued in CA
Practice address
210 N Jackson Ave
Suite 20
San Jose, CA 95116-1621
Phone
(408) 251-6127
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A7979 CA Primary

Addresses

Primary practice location

210 N Jackson Ave
Suite 20
San Jose, CA 95116-1621

Mailing address

210 N Jackson Ave
Suite 20
San Jose, CA 95116-1621
Phone (408) 251-6127

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
I20050412000742 CA Practitioner - Family PracticePractitioner - Internal Medicine 8527005479 Reassigns benefits to 1 organization
Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hai Hoang Nguyen MD IncGroup PAC ID 3870620479, 2 clinicians

Practice addresses (Care Compare)

210 N Jackson Ave
Suite 20
San Jose, CA 95116-1621
Phone (408) 251-6127

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hai Hoang Nguyen MD Inc Family Medicine CurrentSince Feb 12, 2012 Accepting new patients
O'Connor Hospital Past Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

210 N Jackson Ave
Ste 20
San Jose, CA 95116
Phone (408) 251-6127

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: vnguyen42097@santaclaravalley.direct-ci.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225063290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N JACKSON AVE",
            "address_2": "SUITE 20",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161621",
            "telephone_number": "408-251-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N JACKSON AVE",
            "address_2": "SUITE 20",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161621",
            "telephone_number": "408-251-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VU",
        "middle_name": "HOANG",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.