Active NPI
Kim T Nguyen, M.D.
- Internal Medicine Physician
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 128291
- Practice address
- 2033 Gateway PL
San Jose, CA 95110-3709 - Phone
- (657) 500-0634
- NPI assigned
- Apr 6, 2012
- Last updated
- Aug 16, 2026
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bicycle Health Medical Group PA | Current | Accepting new patients | |
| La Familia Medical Center | Current | Accepting new patients | |
| La Familia Medical Center | Current | Accepting new patients | |
| La Familia Medical Center | Past | Accepting new patients | |
| Bicycle Health Provider Group Inc. | Past | 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
- 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.
-
dba La Familia Health
- Federally Qualified Health Center (FQHC)
- Santa Fe, NM
- NPI 1811059322
-
- Addiction Medicine (Family Medicine) Physician
- Seattle, WA
- NPI 1194342162
NM
-
- Federally Qualified Health Center (FQHC)
- Santa Fe, NM
- NPI 1740717743
-
- Addiction Medicine (Family Medicine) Physician
- San Jose, CA
- NPI 1356817886
-
dba La Familia Health
- Federally Qualified Health Center (FQHC)
- Santa Fe, NM
- NPI 1346251782
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHRISTUS St. Vincent Regional Medical Center
- General Acute Care Hospital
- Santa Fe, NM
- NPI 1578587150
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.