Individual provider Active NPI

Ngoc Nguyen, M.D.

  • Ophthalmology Physician
  • San Jose, CA
National Provider Identifier
1609935113
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G070053 Issued in CA
Practice address
2380 Montpelier Dr Ste 300
San Jose, CA 95116-1620
Phone
(408) 272-3706
Fax
(408) 254-4094
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G070053 CA Primary

Addresses

Primary practice location

2380 Montpelier Dr Ste 300
San Jose, CA 95116-1620

Mailing address

2380 Montpelier Dr Ste 300
San Jose, CA 95116-1620
Phone (408) 272-3706

Other identifiers 1

IdentifierTypeStateIssuer
00G700530MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040827000181 CA Practitioner - Ophthalmology 9032184742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, San Diego School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ngoc Nguyen MD IncGroup PAC ID 0749246502, 2 clinicians

Practice addresses (Care Compare)

2380 Montpelier Dr
Suite 300
San Jose, CA 95116-1620
Phone (408) 272-3706

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery230

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G070053CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ngoc Nguyen MD Inc Ophthalmology CurrentSince Jan 25, 1999 Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
Physicians Surgery Services LLC PastSince Feb 1, 2011 Accepting new patients
County of Santa Clara Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients

Locations

175 N Jackson Ave
Ste 209
San Jose, CA 95116
Phone (408) 210-0304

2380 Montpelier Dr
Ste 300
San Jose, CA 95116
Phone (408) 272-3706

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECHGBD/Endpoint/ECHGBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/ECHGBD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609935113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 MONTPELIER DR STE 300",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161620",
            "telephone_number": "408-272-3706",
            "fax_number": "408-254-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 MONTPELIER DR STE 300",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161620",
            "telephone_number": "408-272-3706",
            "fax_number": "408-254-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "NGOC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G070053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G700530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.