Individual provider Active NPI

Augustine Nguyen, DO

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1366063612
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A20917 Issued in CA
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

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230926004160 CA Practitioner - Family Practice 9436576196 Reassigns benefits to 1 organization

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
North East Medical ServicesGroup PAC ID 4284520529, 143 clinicians

Practice addresses (Care Compare)

650 Polk St
San Francisco, CA 94102-3328
Phone (415) 391-9686

Hospital & facility affiliations

  • Harmony Home Health Home health agency, Daly City, CA, CCN 053133
  • California Pacific Medical Center- Van Ness Campus Hospital, San Francisco, CA, CCN 050047
  • California Pacific Medical Ctr-Davies Campus Hosp Hospital, San Francisco, CA, CCN 050008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20917CAMDProfessional Counselor
20A20917CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North East Medical Services CurrentSince Sep 5, 2023 Accepting new patients
North East Medical Services Current Accepting new patients
North East Medical Services CurrentSince Sep 5, 2023 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.