Active NPI
Michael Tang Hieu Nguyen, PMHNP-BC, MSN, RN
- Psychiatric/Mental Health Nurse Practitioner
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95018489
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95018489 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alameda County | Current | Accepting new patients | |
| Mindful Health Solutions a Professional Medical Corporation | Current | Accepting new patients | |
| Alameda, County of | Current | 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.
-
- Community/Behavioral Health Agency
- Hayward, CA
- NPI 1780716381
-
- Psychiatry Physician
- San Francisco, CA
- NPI 1881894483
-
- Public Health or Welfare Agency
- Oakland, CA
- NPI 1568716181
-
- Community/Behavioral Health Agency
- Alameda, CA
- NPI 1548392145
-
- Psychiatric/Mental Health Nurse Practitioner
- Sonoma, CA
- NPI 1609763341
-
- Psychiatric/Mental Health Nurse Practitioner
- Phoenix, AZ
- NPI 1023870763
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.