Individual provider Active NPI

Chau Thanh Nguyen, M.D.

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1285612028
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A34181 Issued in CA
Practice address
2116 McKee Rd
San Jose, CA 95116-1427
Phone
(408) 259-0107
Fax
(408) 259-7508
NPI assigned
Jan 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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 A34181 CA Primary

Addresses

Primary practice location

2116 McKee Rd
San Jose, CA 95116-1427

Mailing address

200 Jose Figueres Ave
Ste 325
San Jose, CA 95116-1592
Phone (408) 259-0107

Other identifiers 1

IdentifierTypeStateIssuer
00A341810MedicaidCA

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
I20110413000788 CA Practitioner - Family Practice 2163606294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Cardiovascular Care a Medical CorporationGroup PAC ID 3779504485, 11 clinicians

Practice addresses (Care Compare)

200 Jose Figueres Ave
Suite 325
San Jose, CA 95116-1592
Phone (408) 937-9000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34181CAMDHealth Psychologist
A34181CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Cardiovascular Care a Medical Corporation Family Medicine CurrentSince Mar 1, 2011 Accepting new patients
County of Santa Clara PastSince Mar 1, 2011 Accepting new patients
Delaware County Memorial Hospital Past Accepting new patients

Locations

178 2nd St
Ste D
Gilroy, CA 95020
Phone (408) 842-5190

200 Jose Figueres Ave
San Jose, CA 95116
Phone (408) 259-3232

200 Jose Figueres Ave
Ste 325
San Jose, CA 95116
Phone (408) 937-9000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1285612028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE",
            "address_2": "STE 325",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161592",
            "telephone_number": "408-259-0107",
            "fax_number": "408-259-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 MCKEE RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161427",
            "telephone_number": "408-259-0107",
            "fax_number": "408-259-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CHAU",
        "middle_name": "THANH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A34181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A341810",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.