Individual provider Active NPI

Thao Nguyen, FNP

  • Family Nurse Practitioner
  • Brisbane, CA
National Provider Identifier
1255058624
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95022386 Issued in CA
Practice address
453 San Francisco Ave
Brisbane, CA 94005-1325
Phone
(925) 497-0188
NPI assigned
Oct 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95022386 CA Primary

Addresses

Primary practice location

453 San Francisco Ave
Brisbane, CA 94005-1325

Mailing address

453 San Francisco Ave
Brisbane, CA 94005-1325
Phone (925) 497-0188

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251127000151 CA Practitioner - Nurse Practitioner 9931691813 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health Systems IncGroup PAC ID 8628019320, 37 clinicians

Practice addresses (Care Compare)

2550 W Clinton Ave
Fresno, CA 93705-4206
Phone (858) 251-2314

2550 W Clinton Ave
Unit 156
Fresno, CA 93705-4210
Phone (858) 251-2314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95022386CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Systems, Inc. CurrentSince Nov 10, 2025 Accepting new patients
Mental Health Systems, Inc. CurrentSince Nov 10, 2025 Accepting new patients
Universal Medical Group CurrentSince Oct 15, 2025 Accepting new patients
California Behavior Solutions Inc CurrentSince Oct 15, 2025 Accepting new patients
Mental Health Systems, Inc. Past Accepting new patients
Ocean Psychiatry Inc PastSince Apr 22, 2020 Accepting new patients
Ocean Psychological Services, Inc. PastSince Nov 16, 2021 Accepting new patients

Locations

2550 W Clinton Ave
Ste B
Fresno, CA 93705
Phone (858) 251-2314

91 Gregory Ln
Ste 20
Pleasant Hill, CA 94523
Phone (925) 813-9273

9465 Farnham St
San Diego, CA 92123
Phone (858) 576-4311

525 Oregon St
Vallejo, CA 94590
Phone (707) 301-1657

Organizations & group practices 8

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": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1255058624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 SAN FRANCISCO AVE",
            "city": "BRISBANE",
            "state": "CA",
            "postal_code": "940051325",
            "telephone_number": "925-497-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 SAN FRANCISCO AVE",
            "city": "BRISBANE",
            "state": "CA",
            "postal_code": "940051325",
            "telephone_number": "925-497-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THAO",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95022386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brisbane, CA

Sources for this page

Verify at the official NPI Registry.