Individual provider Active NPI

Christina Nguyen, PA-C

  • Physician Assistant
  • San Jose, CA
National Provider Identifier
1457949943
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
60688 Issued in CA
Practice address
455 Oconnor Dr Ste 370
San Jose, CA 95128-1600
Phone
(408) 827-4274
NPI assigned
Jan 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 60688 CA Primary

Addresses

Primary practice location

455 Oconnor Dr Ste 370
San Jose, CA 95128-1600

Mailing address

455 Oconnor Dr Ste 370
San Jose, CA 95128-1600
Phone (682) 248-4225

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220707000680 CA Practitioner - Physician Assistant 9032599121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bay Area Gynecology Oncology IncGroup PAC ID 7618907148, 10 clinicians

Practice addresses (Care Compare)

910 Campisi Way
Suite 2a
Campbell, CA 95008-2351
Phone (408) 827-4274

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Gynecology Oncology Inc CurrentSince Apr 26, 2022 Accepting new patients

Locations

910 Campisi Way
Ste 2A
Campbell, CA 95008
Phone (408) 827-4274

455 Oconnor Dr
Ste 370
San Jose, CA 95128
Phone (408) 292-7202

Interoperability endpoints

  • Direct secure messaging: rbugay192252@santaclaravalley.direct-ci.net

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1610150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1457949943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 OCONNOR DR STE 370",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281600",
            "telephone_number": "682-248-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 OCONNOR DR STE 370",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281600",
            "telephone_number": "408-827-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CHRISTINA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-09",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "60688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.