Individual provider Active NPI

CHI Thi Nguyen, PA-C

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1679339808
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17614 Issued in TX
Practice address
8235 S New Braunfels Ste 101
San Antonio, TX 78235-4439
Phone
(210) 616-1317
Fax
(210) 333-0633
NPI assigned
Feb 26, 2024
Last updated
Jul 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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 PA17614 TX Primary

Addresses

Primary practice location

8235 S New Braunfels Ste 101
San Antonio, TX 78235-4439

Mailing address

8235 S New Braunfels Ste 101
San Antonio, TX 78235-4439
Phone (210) 616-1317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240313003990 TX Practitioner - Physician Assistant 7911343884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

4243 E Southcross
Suite 205 Wellmed at Pecan Valley
San Antonio, TX 78222-3750
Phone (210) 304-3500

6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411

8235 S New Braunfels
101 Wellmed at Brooks City Base
San Antonio, TX 78235-4439
Phone (210) 616-1317

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA CurrentSince Apr 1, 2024 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Apr 1, 2024 Accepting new patients

Locations

524 Singing Oaks
Ste 200
Bulverde, TX 78070
Phone (830) 980-8433

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8235 S New Braunfels
Ste 101
San Antonio, TX 78235
Phone (210) 614-7029

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Organizations & group practices 2

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": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1679339808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8235 S NEW BRAUNFELS STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782354439",
            "telephone_number": "210-616-1317",
            "fax_number": "210-333-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8235 S NEW BRAUNFELS STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782354439",
            "telephone_number": "210-616-1317",
            "fax_number": "210-333-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CHI",
        "middle_name": "THI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.