Premier Care Ipa

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

PREMIER CARE IPA

Practice address

1865 Alum Rock Ave Ste a
San Jose, CA 95116-1396

Phone

(408) 258-3229

Fax

(408) 258-3422

NPI assigned

Jul 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Tuyen Ngo, MDNPI 1023113123

Title

Physical Medicine & Rehab

Phone

(408) 258-3229

Specialties & licenses 1

Addresses

Tax ID family

Premier Care Ipa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Premier Care of Northern California

  • Contractor
  • San Dimas, CA
  • NPI 1689798621
  NPD tax ID

Practitioners 1

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

• Tuyen Ngoc Ngo, MD

  • Specialist
  • San Jose, CA
  • NPI 1023113123
  NPD (past) Authorized official

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1497919112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 ALUM ROCK AVE STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 ALUM ROCK AVE STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161396",
            "telephone_number": "408-258-3229",
            "fax_number": "408-258-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CARE IPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "TUYEN",
        "authorized_official_title_or_position": "PHYSICAL MEDICINE & REHAB",
        "authorized_official_telephone_number": "408-258-3229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Estefany Preciado Ruelas, LCSW
• Precision Psychiatric Services Inc
• Zachary Daniel Preefer, DO
• Premere Rehab LLC
• Premier Brain & Spine Institute, Inc
• Premier Healthcare Services Inc
• Premier Healthcare Services, LLC
• Premier Home Health Providers Inc.
• Premier Imaging Medical Associates Inc.
• Premiere Corporate Solutions

• Health Maintenance Organization in San Jose, CA
• Providers in San Jose, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.