Active NPI
Nguyenthao H Nguyen, MSN, APRN, FNP-BC
- Nurse Practitioner
- Fremont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95021739
- Practice address
- 43360 Mission Blvd Ste 100
Fremont, CA 94539-5959 - Phone
- (510) 992-4114
- NPI assigned
- Apr 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95146626 | CA | |
| Nurse Practitioner | 363L00000X | 95021739 | CA | Primary |
Addresses
Primary practice location
43360 Mission Blvd Ste 100
Fremont, CA 94539-5959
Mailing address
43360 Mission Blvd Ste 100
Fremont, CA 94539-5959
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
43360 Mission Blvd
Suite 100
Fremont, CA 94539-5959
Phone (650) 288-0826
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95146626 | CA | MD | Registered Nurse |
| 95021739 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infusion Express of California Inc | Current | Accepting new patients |
Locations
66 Bovet Rd
Ste 105
San Mateo, CA 94402
Phone (510) 992-4114
717 E El Camino Real
Ste 5
Sunnyvale, CA 94087
Phone (408) 228-3700
214 Centerview Dr
Ste 250
Brentwood, TN 37027
Phone (847) 420-0686
Organizations & group practices 1
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.
-
- Infusion Therapy Clinic/Center
- Fremont, CA
- NPI 1447604525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681344000000",
"number": "1285320259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43360 MISSION BLVD STE 100",
"city": "FREMONT",
"state": "CA",
"postal_code": "945395959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43360 MISSION BLVD STE 100",
"city": "FREMONT",
"state": "CA",
"postal_code": "945395959",
"telephone_number": "510-992-4114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "NGUYENTHAO",
"middle_name": "H",
"credential": "MSN, APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-13",
"last_updated": "2023-04-13",
"certification_date": "2023-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95146626",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95021739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.