Individual provider Active NPI

Hung Nguyen

  • Acupuncturist
  • Cupertino, CA
National Provider Identifier
1558508291
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
17542 Issued in CA
Practice address
10311 S de Anza Blvd
Cupertino, CA 95014-3028
Phone
(408) 609-6540
Fax
(408) 609-6540
NPI assigned
Jan 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 17542 CA Primary

Addresses

Primary practice location

10311 S de Anza Blvd
Cupertino, CA 95014-3028

Mailing address

940 McCreery Ave
San Jose, CA 95116-2208
Phone (408) 609-6540

Other practice location 1

310 Checkers Dr Apt 210
San Jose, CA 95133-2208
Phone (408) 888-3043

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

LicenseStateTypeSpecialty
17542CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1558508291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 MCCREERY AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951162208",
            "telephone_number": "408-609-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10311 S DE ANZA BLVD",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143028",
            "telephone_number": "408-609-6540",
            "fax_number": "408-609-6540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 Checkers Dr Apt 210",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951332208",
            "country_code": "US",
            "telephone_number": "408-888-3043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HUNG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "17542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.