Individual provider Active NPI

Nicole Thanh - Cam Vecchi, M.D.

  • Specialist
  • Milpitas, CA
National Provider Identifier
1407882863
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G835610 Issued in CA
Practice address
429 S Main St
Milpitas, CA 95035-5318
Phone
(408) 935-9586
Fax
(408) 719-1979
NPI assigned
Jun 25, 2006
Last updated
Feb 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G835610 CA Primary

Addresses

Primary practice location

429 S Main St
Milpitas, CA 95035-5318

Mailing address

429 S Main St
Milpitas, CA 95035-5318
Phone (408) 935-9586

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
I20040714001534 CA Practitioner - Internal Medicine 7517946486 Reassigns benefits to 1 organization
Practice locations: Milpitas, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nong GroupGroup PAC ID 8820454978, 2 clinicians

Practice addresses (Care Compare)

3287 Mount Logan Dr
San Jose, CA 95127-4825
Phone (808) 391-8905

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G835610CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Nong Group CurrentSince Jan 1, 2024 Accepting new patients
Nguyen Plastic Surgery PC Specialist Past Accepting new patients

Locations

429 S Main St
Milpitas, CA 95035
Phone (408) 719-1975

2365 Quimby Rd
Ste 220
San Jose, CA 95122
Phone (408) 258-5083

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJCECD/Endpoint/HJCECD

Organizations & group practices 2

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 7

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": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1407882863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 S MAIN ST",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950355318",
            "telephone_number": "408-935-9586",
            "fax_number": "408-719-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 S MAIN ST",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950355318",
            "telephone_number": "408-935-9586",
            "fax_number": "408-719-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VECCHI",
        "first_name": "NICOLE",
        "middle_name": "THANH - CAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G835610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

Verify at the official NPI Registry.