Active NPI
Thien Ngoc Nguyen, ND, DC, LAC
- Chiropractor
- San Jose, CA
National Provider Identifier
1619480035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC35200
- Practice address
- 621 Tully Rd # 232
San Jose, CA 95111-1013 - Phone
- (408) 605-9668
- NPI assigned
- Nov 7, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC60812081 | WA | |
| Community Health Worker | 172V00000X | CA | ||
| Naturopath | 175F00000X | ND1058 | CA | |
| Chiropractor | 111N00000X | DC35200 | CA | Primary |
Addresses
Primary practice location
621 Tully Rd # 232
San Jose, CA 95111-1013
Mailing address
9535 Duchess LN
Stockton, CA 95209-1953
Phone (408) 605-9668
Other practice location 1
4410 N Pershing Ave Ste C1
Stockton, CA 95207-6960
Phone (209) 323-5338
Other practice location 2
9535 Duchess Ln
Stockton, CA 95209-1953
Phone (408) 605-9668
Other practice location 3
2530 J St Ste 100
Sacramento, CA 95816-4849
Phone (916) 446-2591
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC35200 | CA | MD | Chiropractor |
| AC60812081 | WA | MD | Acupuncturist |
| ND1058 | CA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vietnamese Voluntary Foundation, Inc. | Community Health Worker | Past | Accepting new patients |
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 and National Provider Directory roles.
-
dba Vivo
- Social Worker
- San Jose, CA
- NPI 1386120038
Community Health Worker
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741737600000",
"number": "1619480035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9535 DUCHESS LN",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952091953",
"telephone_number": "408-605-9668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 TULLY RD # 232",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951111013",
"telephone_number": "408-605-9668"
}
],
"practiceLocations": [
{
"address_1": "4410 N Pershing Ave Ste C1",
"address_purpose": "LOCATION",
"city": "Stockton",
"state": "CA",
"postal_code": "952076960",
"country_code": "US",
"telephone_number": "209-323-5338",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9535 Duchess Ln",
"address_purpose": "LOCATION",
"city": "Stockton",
"state": "CA",
"postal_code": "952091953",
"country_code": "US",
"telephone_number": "408-605-9668",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2530 J St Ste 100",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958164849",
"country_code": "US",
"telephone_number": "916-446-2591",
"fax_number": "916-446-2592",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "THIEN",
"middle_name": "NGOC",
"name_prefix": "Dr.",
"credential": "ND, DC, LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-07",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC60812081",
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "ND1058",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC35200",
"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 Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.