Active NPI
Tien Dang Ho, RT
- Radiologic Technologist
- San Jose, CA
National Provider Identifier
1538838438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- RHF00109759
- Practice address
- 3648 Heathcot CT
San Jose, CA 95121-1442 - Phone
- (669) 350-3331
- Fax
- (669) 201-0296
- NPI assigned
- Sep 13, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | RHF00109759 | CA | Primary |
Addresses
Primary practice location
3648 Heathcot CT
San Jose, CA 95121-1442
Mailing address
3648 Heathcot CT
San Jose, CA 95121-1442
Phone (669) 350-3331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87-1986948 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fax@baymobilexray.com | Direct |
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 |
|---|---|---|---|
| RHF00109759 | CA | MD | Radiologic Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Mobile X-Ray | Radiologic Technologist | Current | 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": "1631491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1538838438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3648 HEATHCOT CT",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951211442",
"telephone_number": "669-350-3331",
"fax_number": "669-201-0296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3648 HEATHCOT CT",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951211442",
"telephone_number": "669-350-3331",
"fax_number": "669-201-0296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HO",
"first_name": "TIEN",
"middle_name": "DANG",
"credential": "RT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-13",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "CA",
"license": "RHF00109759",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "87-1986948",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "fax@baymobilexray.com",
"affiliation": "N",
"endpointDescription": "Bay Mobile X-ray",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3648 Heathcot Ct",
"city": "San Jose",
"state": "CA",
"country_code": "US",
"postal_code": "951211442",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}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 Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.