STDK Medical Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A49096 Issued in CA

Legal business name

STDK MEDICAL INC.

Practice address

200 Jose Figueres Ave Ste 380
San Jose, CA 95116-1591

Phone

(408) 259-0737

Fax

(408) 259-0649

NPI assigned

Sep 13, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Tuan N Nguyen, M.D.

Title

Chief Executive Officer

Phone

(408) 259-0737

Specialties & licenses 1

Addresses

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1285883322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE STE 380",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161591",
            "telephone_number": "408-259-0737",
            "fax_number": "408-259-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE STE 380",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161591",
            "telephone_number": "408-259-0737",
            "fax_number": "408-259-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STDK MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-13",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TUAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "408-259-0737",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A49096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• State of the Heart Wellness
• Audrey Danielle Staton
• Rhonda Staton
• Joanna U Staunton, MD
• Jennifer Stavreva
• Matthew John Steager, RN
• Jennifer Stearns, M.S.
• William Robert Stearns, M.D.
• Kathryn Stecco, MD
• Jared Lee Steck, HIGH SCHOOL DIPLOMA

• Internal Medicine Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.