Individual provider Active NPI

Tu Hoang Nguyen, LAC

  • Acupuncturist
  • San Jose, CA
National Provider Identifier
1639687304
Registry record updated Sep 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
17411 Issued in CA
Practice address
6055 Meridian Ave Ste 30
San Jose, CA 95120
Phone
(408) 766-1811
Fax
(408) 550-7112
NPI assigned
Jan 16, 2018
Last updated
Sep 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 17411 CA Primary

Addresses

Primary practice location

6055 Meridian Ave Ste 30
San Jose, CA 95120

Mailing address

6055 Meridian Ave Ste 30
San Jose, CA 95120
Phone (408) 766-1811

Other practice location 1

326 Huckleberry Dr
San Jose, CA 95123-4445
Phone (408) 960-5663

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dao Wellness & Acupuncture Center, a Prof. Org. Acupuncturist 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, 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": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535760000000",
    "number": "1639687304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6055 MERIDIAN AVE STE 30",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95120",
            "telephone_number": "408-766-1811",
            "fax_number": "408-550-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6055 MERIDIAN AVE STE 30",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95120",
            "telephone_number": "408-766-1811",
            "fax_number": "408-550-7112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "326 Huckleberry Dr",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951234445",
            "country_code": "US",
            "telephone_number": "408-960-5663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TU",
        "middle_name": "HOANG",
        "name_prefix": "Mr.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "17411",
            "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 Sep 1, 2018; 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.