Active NPI
Augustine Nguyen, DO
- Family Medicine Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A20917
- Practice address
- 650 Polk St, North East Medical Services
San Francisco, CA 94102 - Phone
- (415) 391-9686
- Fax
- (412) 673-2150
- NPI assigned
- Apr 28, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A20917 | CA | Primary |
Addresses
Primary practice location
650 Polk St, North East Medical Services
San Francisco, CA 94102
Mailing address
1520 Stockton St (North East Medical Services)
San Francisco, CA 94133
Phone (415) 391-9686
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
650 Polk St
San Francisco, CA 94102-3328
Phone (415) 391-9686
Hospital & facility affiliations
- Harmony Home Health
- California Pacific Medical Center- Van Ness Campus
- California Pacific Medical Ctr-Davies Campus Hosp
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20917 | CA | MD | Professional Counselor |
| 20A20917 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North East Medical Services | Current | Accepting new patients | |
| North East Medical Services | Current | Accepting new patients | |
| North East Medical Services | Current | Accepting new patients |
Locations
211 Eastmoor Ave
Daly City, CA 94015
Phone (650) 550-3923
650 Polk St
San Francisco, CA 94102
650 Polk St
#N
San Francisco, CA 94102
82 Leland Ave
San Francisco, CA 94134
Phone (415) 391-9688
1520 Stockton St
#N
San Francisco, CA 94133
939 Story Rd
Ste 103107
San Jose, CA 95122
Phone (408) 573-9686
1870 Lundy Ave
San Jose, CA 95131
Phone (408) 573-9686
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- San Francisco, CA
- NPI 1518911304
-
- Federally Qualified Health Center (FQHC)
- San Francisco, CA
- NPI 1023369881
-
- Community/Retail Pharmacy
- San Jose, CA
- NPI 1902616279
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Daly City, CA
- NPI 1861801821
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1659439834
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1740348929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1366063612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 STOCKTON ST (NORTH EAST MEDICAL SERVICES)",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94133",
"telephone_number": "415-391-9686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 POLK ST, NORTH EAST MEDICAL SERVICES",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94102",
"telephone_number": "415-391-9686",
"fax_number": "412-673-2150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "AUGUSTINE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-28",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A20917",
"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 17, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.