Susan Nguyen MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A65791 Issued in CA

Legal business name

SUSAN NGUYEN MD INC

Practice address

250 Bon Air Rd
Greenbrae, CA 94904-1702

Phone

(415) 509-1573

NPI assigned

Dec 28, 2017

Organization subpart

No

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

Authorized official

Name

Susan Nguyen, MDNPI 1164470696

Title

Owner

Phone

(415) 509-1573

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan T. Nguyen, MD

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1164470696
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514419200000",
    "number": "1366959397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 WEBSTER ST APT 405",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153294",
            "telephone_number": "415-509-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BON AIR RD",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949041702",
            "telephone_number": "415-509-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN NGUYEN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-28",
        "last_updated": "2017-12-28",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-509-1573",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A65791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hector C Streeter, MD
• Kelly Stroup
• Jessica Stuhl
• Amanda Clare Sullivan, LAC
• Susan Sun, M.D.
• Hilary Swanson, M.A., LMFT
• Lou Ann Sweaney, FNP-C
• Oksana Sytova, N.P.
• Patricia Jean Szerlip, R.N.
• Azita Taghavy, M.D.

• Internal Medicine Physician in Greenbrae, CA
• Providers in Greenbrae, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.