Active NPI
My Thanh Nguyen, PA-C
- Physician Assistant
- San Jose, CA
National Provider Identifier
1659809275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 54470
- Practice address
- 2331 Montpelier Dr Ste B
San Jose, CA 95116-1673 - Phone
- (408) 347-9001
- NPI assigned
- May 26, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 54470 | CA | Primary |
Addresses
Primary practice location
2331 Montpelier Dr Ste B
San Jose, CA 95116-1673
Mailing address
2616 Glen Cotswold CT
San Jose, CA 95148-2544
Phone (408) 858-6458
Other practice location 1
231 OConnor Dr
San Jose, CA 95128-1624
Phone (408) 347-9001
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- San Jose, CA
- NPI 1043476393
-
- Gastroenterology Physician
- San Jose, CA
- NPI 1578586731
-
- Internal Medicine Physician
- San Jose, CA
- NPI 1184998122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1659809275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2616 GLEN COTSWOLD CT",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951482544",
"telephone_number": "408-858-6458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2331 MONTPELIER DR STE B",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161673",
"telephone_number": "408-347-9001"
}
],
"practiceLocations": [
{
"address_1": "231 OConnor Dr",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951281624",
"country_code": "US",
"telephone_number": "408-347-9001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "MY",
"middle_name": "THANH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-26",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "54470",
"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 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.