Active NPI
Dan-Anh Thi Nguyen, M.D.
- Obstetrics & Gynecology Physician
- San Jose, CA
National Provider Identifier
1548206113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 00G669680
- Practice address
- 2100 Forest Ave
Ste 105
San Jose, CA 95128-1422 - Phone
- (408) 993-8071
- NPI assigned
- Jun 21, 2006
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 00G669680 | CA | Primary |
Addresses
Primary practice location
2100 Forest Ave
Ste 105
San Jose, CA 95128-1422
Mailing address
2100 Forest Ave
Ste 105
San Jose, CA 95128
Phone (408) 993-8071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G669680 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00G669680 | CA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190937600000",
"number": "1548206113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 FOREST AVE",
"address_2": "STE 105",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95128",
"telephone_number": "408-993-8071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 FOREST AVE",
"address_2": "STE 105",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951281422",
"telephone_number": "408-993-8071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "DAN-ANH",
"middle_name": "THI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2007-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "00G669680",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G669680",
"state": "CA"
}
],
"endpoints": [],
"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 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.