Active NPI
Trung Hoai Nguyen, M.D.
- Family Medicine Physician
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A372990
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A372990 | Medicaid | CA |
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
Enrollment records 1
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 30.9 of 100
- Quality
- 15
- Improvement activities
- 0
- Cost
- 66.33
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37299 | CA | MD | Counselor |
| A372990 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Health Medical Foundation | Family Medicine | Current | 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.
-
- Family Medicine Physician
- San Jose, CA
- NPI 1093310583
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
- Critical Access Hospital
- Delhi, NY
- NPI 1801975156
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1326587213
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- San Jose, CA
- NPI 1992048508
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.