Active NPI
Van Thu Nguyen, LVN
- Licensed Vocational Nurse
- Fremont, CA
National Provider Identifier
1497993620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- VN 178013
- Practice address
- 39001 Sundale Dr
Fremont, CA 94538-2005 - Phone
- (510) 796-1100
- NPI assigned
- Jan 26, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | VN 178013 | CA | Primary |
Addresses
Primary practice location
39001 Sundale Dr
Fremont, CA 94538-2005
Mailing address
4477 Madrid CT
Union City, CA 94587-3831
Phone (510) 552-5196
Other practice location 1
251 Llewellyn Ave
Campbell, CA 95008-1940
Phone (408) 364-4083
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VN 178013 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1497993620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4477 MADRID CT",
"city": "UNION CITY",
"state": "CA",
"postal_code": "945873831",
"telephone_number": "510-552-5196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39001 SUNDALE DR",
"city": "FREMONT",
"state": "CA",
"postal_code": "945382005",
"telephone_number": "510-796-1100"
}
],
"practiceLocations": [
{
"address_1": "251 Llewellyn Ave",
"address_purpose": "LOCATION",
"city": "Campbell",
"state": "CA",
"postal_code": "950081940",
"country_code": "US",
"telephone_number": "408-364-4083",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "VAN",
"middle_name": "THU",
"credential": "LVN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-26",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "VN 178013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.