Active NPI
Ngoc Nguyen MD Inc
- Ophthalmology Physician
- San Jose, CA
National Provider Identifier
1639238140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G070053
- Legal business name
- NGOC NGUYEN MD INC
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nguyen Nguyen, M.D.
- Title
- Owner
- Phone
- (408) 272-3706
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0093880 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir4.healow.com/fhir/r4/ECHGBD
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- San Jose, CA
- NPI 1609935113
-
- Ophthalmology Physician
- San Jose, CA
- NPI 1760474159
-
- Optometrist
- San Jose, CA
- NPI 1013211523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1639238140",
"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": {
"organization_name": "NGOC NGUYEN MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "NGUYEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "408-272-3706",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "CA",
"license": "G070053",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0093880",
"state": "CA"
}
],
"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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.