Individual provider Active NPI

Kim T Nguyen, M.D.

  • Internal Medicine Physician
  • San Jose, CA
National Provider Identifier
1588920268
Registry record updated Aug 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
128291 Issued in CA
Practice address
2033 Gateway PL
San Jose, CA 95110-3709
Phone
(657) 500-0634
NPI assigned
Apr 6, 2012
Last updated
Aug 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 128291 CA Primary

Addresses

Primary practice location

2033 Gateway PL
San Jose, CA 95110-3709

Mailing address

1339 Kansas St
San Francisco, CA 94107-3242
Phone (415) 418-4518

Other practice location 1

141 E Palace Ave Ste 101
Santa Fe, NM 87501-2041
Phone (657) 500-0634

Other practice location 2

3295 W Elder St Ste 209
Boise, ID 83705-4772
Phone (657) 500-0634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220216002824 NM Practitioner - Internal Medicine 2860772217 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Yale University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Familia Medical CenterGroup PAC ID 4082601026, 30 clinicians

Practice addresses (Care Compare)

1035 Alto St
Santa Fe, NM 87501-2406
Phone (505) 982-4425

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bicycle Health Medical Group PA CurrentSince Mar 15, 2025 Accepting new patients
La Familia Medical Center CurrentSince Feb 7, 2022 Accepting new patients
La Familia Medical Center CurrentSince Feb 7, 2022 Accepting new patients
La Familia Medical Center Past Accepting new patients
Bicycle Health Provider Group Inc. PastSince Dec 17, 2023 Accepting new patients

Locations

1580 N Logan St
Denver, CO 80203
Phone (720) 316-0385

41000 Woodward Ave
Ste 350
Bloomfld Hls, MI 48304
Phone (248) 835-5705

1035 Alto St
Santa Fe, NM 87501
Phone (505) 982-4425

150 Washington Ave
Ste 201
Santa Fe, NM 87501
Phone (505) 204-4788

Interoperability endpoints

  • Direct secure messaging: kim.nguyen.1@18731.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786838400000",
    "number": "1588920268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 KANSAS ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941073242",
            "telephone_number": "415-418-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 GATEWAY PL",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951103709",
            "telephone_number": "657-500-0634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 E Palace Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875012041",
            "country_code": "US",
            "telephone_number": "657-500-0634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3295 W Elder St Ste 209",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837054772",
            "country_code": "US",
            "telephone_number": "657-500-0634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KIM",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-06",
        "last_updated": "2026-08-16",
        "certification_date": "2026-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "128291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.