Individual provider Active NPI

Hai Kevin Nguyen, MD

  • Specialist
  • San Jose, CA
National Provider Identifier
1619022431
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A88085 Issued in CA
Practice address
459 S Capitol Ave Ste 4
San Jose, CA 95127-3025
Phone
(408) 929-5505
Fax
(408) 929-5705
NPI assigned
Jan 24, 2007
Last updated
Jan 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A88085 CA Primary

Addresses

Primary practice location

459 S Capitol Ave Ste 4
San Jose, CA 95127-3025

Mailing address

459 S Capitol Ave Ste 4
San Jose, CA 95127-3025
Phone (408) 929-5505

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
I20050809001030 CA Practitioner - Family PracticePractitioner - General Practice 8224067350 Reassigns benefits to 1 organization
Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

459 S Capital Ave
Suite 4
San Jose, CA 95127-3025
Phone (408) 929-5505

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
88085CAMDClinical Social Worker
A88085CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
First Health Clinic CurrentSince Aug 2, 2008 Accepting new patients

Locations

459 S Capitol Ave
Ste 4
San Jose, CA 95127
Phone (408) 929-5505

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1619022431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 S CAPITOL AVE STE 4",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951273025",
            "telephone_number": "408-929-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 S CAPITOL AVE STE 4",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951273025",
            "telephone_number": "408-929-5505",
            "fax_number": "408-929-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HAI",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A88085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.