Active NPI
Amy Nguyen, RDH
- Dental Hygienist
- San Francisco, CA
National Provider Identifier
1356884480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 27865
- Practice address
- 160 Capp St
San Francisco, CA 94110-1210 - Phone
- (415) 621-1170
- NPI assigned
- Nov 21, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 27865 | CA | Primary |
Addresses
Primary practice location
160 Capp St
San Francisco, CA 94110-1210
Mailing address
3124 International Blvd
Oakland, CA 94601-2902
Phone (510) 434-5388
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689863516 | Medicaid | CA | |
| 1811185259 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27865 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479686400000",
"number": "1356884480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3124 INTERNATIONAL BLVD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946012902",
"telephone_number": "510-434-5388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 CAPP ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941101210",
"telephone_number": "415-621-1170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "AMY",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-21",
"last_updated": "2016-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "27865",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1689863516",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1811185259",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.