Individual provider Active NPI

Nguyenthao H Nguyen, MSN, APRN, FNP-BC

  • Nurse Practitioner
  • Fremont, CA
National Provider Identifier
1285320259
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95021739 Issued in CA
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

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230706002111 CA Practitioner - Nurse Practitioner 5597124784 Reassigns benefits to 1 organization

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
Infusion Express of California IncGroup PAC ID 2365720604, 24 clinicians

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

LicenseStateTypeSpecialty
95146626CAMDRegistered Nurse
95021739CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infusion Express of California Inc CurrentSince Jun 5, 2023 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.

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

Verify at the official NPI Registry.