Individual provider Active NPI

Tuyet Van Thi Nguyen, PA-C

  • Physician Assistant
  • Fremont, CA
National Provider Identifier
1679082531
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
20358 Issued in CA
Practice address
39350 Civic Center Dr
Fremont, CA 94538-2343
Phone
(707) 386-2680
NPI assigned
Sep 22, 2017
Last updated
Oct 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 20358 CA Primary

Addresses

Primary practice location

39350 Civic Center Dr
Fremont, CA 94538-2343

Mailing address

811 Almond St Apt a
Suisun City, CA 94585-6505
Phone (707) 386-2680

Other identifiers 1

IdentifierTypeStateIssuer
0000000OtherNONE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171129003223 CA Practitioner - Physician Assistant 5698032605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Duke University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mission Peak Orthopaedic Medical Group IncGroup PAC ID 9739165705, 15 clinicians

Practice addresses (Care Compare)

27206 Calaroga Ave
Suite 107
Hayward, CA 94545-4300
Phone (510) 300-9898

39350 Civic Ctr Dr
Fremont, CA 94538-2331
Phone (510) 797-3933

Merit-based Incentive Payment System (MIPS)

Final score
96.02 of 100Reported as group
Quality
86.58
Improvement activities
40
Cost
87.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
54838CAMDDentist
20358CAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: tnguyen138559@hpmg.direct-ci.net

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": "1506038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1679082531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 ALMOND ST APT A",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945856505",
            "telephone_number": "17073862680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39350 CIVIC CENTER DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382343",
            "telephone_number": "707-386-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TUYET",
        "middle_name": "VAN THI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-22",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "20358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "0000000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.