Individual provider Active NPI

Giang Huong Nguyen, MD

  • General Practice Physician
  • San Jose, CA
National Provider Identifier
1447781604
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A146784 Issued in CA
Practice address
861 Windsor Hills Cir
San Jose, CA 95123-2483
Phone
(714) 200-4269
NPI assigned
Mar 21, 2017
Last updated
Feb 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A146784 CA
General Practice Physician 208D00000X A146784 CA Primary

Addresses

Primary practice location

861 Windsor Hills Cir
San Jose, CA 95123-2483

Mailing address

861 Windsor Hills Cir
San Jose, CA 95123-2483

Other practice location 1

504 n 2nd st
apt b
alhambra, CA 91801
Phone (714) 200-4269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180620002806 CA Order and Referring Only - General SurgeryPractitioner - General Surgery 4688929359

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A146784CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lac Usc Medical Center Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1447781604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 WINDSOR HILLS CIR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951232483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 WINDSOR HILLS CIR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951232483",
            "telephone_number": "714-200-4269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 n 2nd st",
            "address_2": "apt b",
            "address_purpose": "LOCATION",
            "city": "alhambra",
            "state": "CA",
            "postal_code": "91801",
            "country_code": "US",
            "telephone_number": "714-200-4269",
            "fax_number": "714-399-8567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "GIANG",
        "middle_name": "HUONG",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A146784",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A146784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.