Organization Active NPI

Ngai Nguyen, Inc.

  • Skilled Nursing Facility
  • Los Gatos, CA
National Provider Identifier
1609820281
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NGAI NGUYEN, INC.
Practice address
16605 Lark Avenue
Los Gatos, CA 95032-7642
Phone
(408) 356-9146
Fax
(408) 358-2626
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Authorized official

Name
Mr. Maneesh Bansal, M.D.
Title
Ceo
Phone
(562) 924-9618

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 070000060 CA
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

16605 Lark Avenue
Los Gatos, CA 95032-7642

Mailing address

16605 Lark Avenue
Los Gatos, CA 95032-7642
Phone (408) 356-9146

Other identifiers 1

IdentifierTypeStateIssuer
ZZR18425HMedicaidCA

Other names 1

  • Los Gatos Oaks Convalescent Hospital Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1609820281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16605 LARK AVENUE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950327642",
            "telephone_number": "408-356-9146",
            "fax_number": "408-358-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16605 LARK AVENUE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950327642",
            "telephone_number": "408-356-9146",
            "fax_number": "408-358-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGAI NGUYEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "MANEESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-924-9618",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "070000060",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR18425H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Gatos Oaks Convalescent Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.