Individual provider Active NPI

Michael Tang Hieu Nguyen, PMHNP-BC, MSN, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1356958557
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95018489 Issued in CA
Practice address
355 Lisbon St
San Francisco, CA 94112-2705
Phone
(415) 238-7320
NPI assigned
Sep 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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 95202229 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95018489 CA Primary

Addresses

Primary practice location

355 Lisbon St
San Francisco, CA 94112-2705

Mailing address

355 Lisbon St
San Francisco, CA 94112-2705
Phone (415) 238-7320

Other practice location 1

7200 Bancroft Ave Ste 125A
Oakland, CA 94605-2457
Phone (510) 777-3845

Other practice location 2

6333 Telegraph Ave
Oakland, CA 94609-1359
Phone (510) 923-1099

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
I20211117001766 CA Practitioner - Nurse Practitioner 4981093796 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95018489CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda County Current Accepting new patients
Mindful Health Solutions a Professional Medical Corporation CurrentSince Jun 7, 2023 Accepting new patients
Alameda, County of CurrentSince May 15, 2022 Accepting new patients
County of Alameda Past Accepting new patients
Mental Health Practitioners Psychiatric/Mental Health Past Accepting new patients
Smith Psychiatry LLC Psychiatric/Mental Health Past Accepting new patients

Locations

2045 Fairmont Dr
Castro Valley, CA 94578
Phone (510) 667-7500

1020 Suncast Ln
Ste 108
El Dorado Hills, CA 95762
Phone (916) 932-0380

409 Jackson St
Ste 100
Hayward, CA 94544
Phone (510) 383-5103

3300 Webster St
Ste 803
Oakland, CA 94609

7200 Bancroft Ave
Ste 125A
Oakland, CA 94605
Phone (510) 777-3800

3730 Hopyard Rd
Ste 103
Pleasanton, CA 94588
Phone (925) 462-3010

45 Castro St
Ste 318
San Francisco, CA 94114
Phone (415) 431-9555

360 Post St
Ste 1000
San Francisco, CA 94108
Phone (415) 964-5137

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": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1356958557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 LISBON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941122705",
            "telephone_number": "415-238-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 LISBON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941122705",
            "telephone_number": "415-238-7320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7200 Bancroft Ave Ste 125A",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946052457",
            "country_code": "US",
            "telephone_number": "510-777-3845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6333 Telegraph Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946091359",
            "country_code": "US",
            "telephone_number": "510-923-1099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MICHAEL",
        "middle_name": "TANG HIEU",
        "credential": "PMHNP-BC, MSN, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-30",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95202229",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95018489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.