Individual provider Active NPI

Hieu Thi Phuong Nguyen, PA-C

  • Medical Physician Assistant
  • San Jose, CA
National Provider Identifier
1568168995
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
1680 E Capitol Expy Ste 10
San Jose, CA 95121-1839
Phone
(408) 645-7096
NPI assigned
Feb 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X CA Primary

Addresses

Primary practice location

1680 E Capitol Expy Ste 10
San Jose, CA 95121-1839

Mailing address

2150 Almaden Rd SPC 2
San Jose, CA 95125-2143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251230002941 CA Practitioner - Physician Assistant 8820584725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of California, Davis School of Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

305 E Ctr Ave
Visalia, CA 93291-6331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthcare Network CurrentSince Oct 17, 2025 Accepting new patients
Family Healthcare Network CurrentSince Oct 17, 2025 Accepting new patients
Action Urgent Care Inc PastSince Dec 28, 2025 Accepting new patients

Locations

1344 W Clinton Ave
Fresno, CA 93705
Phone (559) 264-8696

290 N Wayte Ln
Fresno, CA 93701
Phone (559) 459-4101

1850 Whitson St
Selma, CA 93662
Phone (559) 896-1414

305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24970/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1568168995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 ALMADEN RD SPC 2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951252143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 E CAPITOL EXPY STE 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211839",
            "telephone_number": "408-645-7096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HIEU",
        "middle_name": "THI PHUONG",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.