Individual provider Active NPI

Trung Hoai Nguyen, M.D.

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1245306794
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A372990 Issued in CA
Practice address
280 N Jackson Ave Ste D
San Jose, CA 95116-1607
Phone
(408) 254-9192
Fax
(408) 254-9194
NPI assigned
Nov 27, 2006
Sex
Male
Sole proprietor
Yes

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 A372990 CA Primary

Addresses

Primary practice location

280 N Jackson Ave Ste D
San Jose, CA 95116-1607

Mailing address

280 N Jackson Ave Ste D
San Jose, CA 95116-1607
Phone (408) 254-9192

Other identifiers 1

IdentifierTypeStateIssuer
00A372990MedicaidCA

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
I20101112000070 CA Practitioner - Family Practice 3476748773 Reassigns benefits to 1 organization
Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
One Health Medical FoundationGroup PAC ID 3870907843, 12 clinicians

Practice addresses (Care Compare)

227 N Jackson Ave
Suite 235
San Jose, CA 95116-1603

227 N Jackson Ave
Suite 235
San Jose, CA 95116-1635
Phone (408) 279-2377

Hospital & facility affiliations

  • South Springs Home Health Care Home health agency, San Jose, CA, CCN 059620

Merit-based Incentive Payment System (MIPS)

Final score
30.9 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
66.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37299CAMDCounselor
A372990CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
One Health Medical Foundation Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
One Health Primary Care LLC Past Accepting new patients
County of Santa Clara Past Accepting new patients
O'Connor Hospital Past Accepting new patients

Locations

227 N Jackson Ave
Ste 235
San Jose, CA 95116
Phone (408) 254-9192

2611 Senter Rd
Ste 238
San Jose, CA 95111
Phone (408) 281-3889

227 N Jackson Ave
Ste 205
San Jose, CA 95116

1661 Burdette Dr
Ste N
San Jose, CA 95121
Phone (408) 270-4582

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245306794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 N JACKSON AVE STE D",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161607",
            "telephone_number": "408-254-9192",
            "fax_number": "408-254-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 N JACKSON AVE STE D",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161607",
            "telephone_number": "408-254-9192",
            "fax_number": "408-254-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TRUNG",
        "middle_name": "HOAI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A372990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A372990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.