Individual provider Active NPI

Tram Ngoc Nguyen, M.D.

  • Physical Medicine & Rehabilitation Physician
  • San Mateo, CA
National Provider Identifier
1336257534
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A68051 Issued in CA
Practice address
100 S San Mateo Dr
San Mateo, CA 94401-3805
Phone
(650) 696-4300
Fax
(650) 696-4984
NPI assigned
Aug 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A68051 CA Primary

Addresses

Primary practice location

100 S San Mateo Dr
San Mateo, CA 94401-3805

Mailing address

1 Baywood Ave
7
San Mateo, CA 94402-1523

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
I20061227000221 CA Practitioner - Physical Medicine and Rehabilitation 4789684697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Louisiana State University School of Medicine in New Orleans, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Hoyman Hong, MD a Prof Med CorpGroup PAC ID 5395752596, 2 clinicians

Practice addresses (Care Compare)

34 N San Mateo Dr
San Mateo, CA 94401-2824
Phone (650) 513-6651

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A68051CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hoyman Hong, MD a Prof Med Corp Physical Medicine & Rehabilitation CurrentSince Apr 1, 2009 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Palo Alto Medical Foundation PastSince Apr 1, 2009 Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients
Mills-Peninsula Health Services Past Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients

Locations

1199 Bush St
Ste 300
San Francisco, CA 94109
Phone (415) 353-6400

1700 California St
Ste 340
San Francisco, CA 94109
Phone (415) 673-4500

909 Hyde St
Ste 609
San Francisco, CA 94109
Phone (415) 673-3888

34 N San Mateo Dr
#2
San Mateo, CA 94401
Phone (650) 513-6651

730 Polhemus Rd
Ste 203
San Mateo, CA 94402

34 N San Mateo Dr
San Mateo, CA 94401
Phone (415) 673-3888

Organizations & group practices 6

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237852800000",
    "number": "1336257534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BAYWOOD AVE",
            "address_2": "7",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944021523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S SAN MATEO DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013805",
            "telephone_number": "650-696-4300",
            "fax_number": "650-696-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TRAM",
        "middle_name": "NGOC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2009-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A68051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.