NPIMap

Individual provider Active NPI

Chistopher Nguyen DO, M.D.

  • Internal Medicine Physician
  • San Jose, CA
National Provider Identifier
1407876659
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00A628770 Issued in CA
Practice address
1569 Lexann Avenue
Suite 206
San Jose, CA 95121
Phone
(408) 531-8808
Fax
(408) 531-8940
NPI assigned
Jul 20, 2006
Last updated
Apr 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 00A628770 CA Primary

Addresses

Primary practice location

1569 Lexann Avenue
Suite 206
San Jose, CA 95121

Mailing address

1569 Lexann Avenue
Suite 206
San Jose, CA 95121
Phone (408) 531-8808

Other identifiers 3

IdentifierTypeStateIssuer
05D0934276OtherCACLIA NUMBER
00A628770MedicaidCA
1043343650OtherCACORPORATE NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100406000092 CA Practitioner - Internal Medicine 6305972092 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Texas Tech University Health Science Center School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1569 Lexann Ave
San Jose, CA 95121-1795
Phone (408) 531-8808

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
19.4 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
64.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of skin lesions28
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00A628770CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Nguyen DO MD a Professional Corporation CurrentSince Oct 14, 2009 Accepting new patients
Zygotherapy, Inc. Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

1569 Lexann Ave
Ste 204
San Jose, CA 95121
Phone (408) 531-8808

1569 Lexann Ave
Ste 206
San Jose, CA 95121
Phone (405) 531-8808

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1407876659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 LEXANN AVENUE",
            "address_2": "SUITE 206",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95121",
            "telephone_number": "408-531-8808",
            "fax_number": "408-531-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 LEXANN AVENUE",
            "address_2": "SUITE 206",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95121",
            "telephone_number": "408-531-8808",
            "fax_number": "408-531-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "CHISTOPHER",
        "middle_name": "NGUYEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "00A628770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER",
            "identifier": "05D0934276",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A628770",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATE NPI",
            "identifier": "1043343650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.