Individual provider Active NPI

Nhi Hoai Thi Nguyen, FNP

  • Family Nurse Practitioner
  • Stockton, CA
National Provider Identifier
1699440511
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95017555 Issued in CA
Practice address
4555 Precissi LN
Stockton, CA 95207-6239
Phone
(209) 477-4103
NPI assigned
Aug 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95017555 CA Primary

Addresses

Primary practice location

4555 Precissi LN
Stockton, CA 95207-6239

Mailing address

1691 The Alameda
San Jose, CA 95126-2203
Phone (408) 287-7526

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
I20210819000627 CA Practitioner - Nurse Practitioner 5193120855 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95017555CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Mar Monte, Inc. CurrentSince Aug 2, 2021 Accepting new patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients
Planned Parenthood Mar Monte, Inc CurrentSince Aug 2, 2021 Accepting new patients
Planned Parenthood Mar Monte, Inc Past Accepting new patients

Locations

1431 McHenry Ave
Ste 100
Modesto, CA 95350
Phone (209) 579-2300

1691 The Alameda
San Jose, CA 95126
Phone (408) 287-7526

4555 Precissi Ln
Stockton, CA 95207
Phone (209) 477-4103

Interoperability endpoints

  • Direct secure messaging: nhi.nguyennp.p1@direct.ppmarmonte.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1699440511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 THE ALAMEDA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262203",
            "telephone_number": "408-287-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 PRECISSI LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076239",
            "telephone_number": "209-477-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "NHI",
        "middle_name": "HOAI THI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.