Active NPI
Elizabeth Nguyen
- Rehabilitation Practitioner
- San Jose, CA
National Provider Identifier
1528538626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 436 N White Rd
San Jose, CA 95127-1439 - Phone
- (408) 259-0760
- Fax
- (408) 642-6052
- NPI assigned
- Nov 30, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 46-1305562 | CA | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
436 N White Rd
San Jose, CA 95127-1439
Mailing address
1922 The Alameda Ste 316
San Jose, CA 95126-1461
Phone (408) 261-7777
Other names 1
- Liz Nguyen
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 |
|---|---|---|---|
| 46-1305562 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1528538626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1922 THE ALAMEDA STE 316",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951261461",
"telephone_number": "408-261-7777",
"fax_number": "408-642-6052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 N WHITE RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951271439",
"telephone_number": "408-259-0760",
"fax_number": "408-642-6052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-30",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "46-1305562",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LIZ",
"last_name": "NGUYEN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.