Individual provider Active NPI

Nhu-Y Nguyen Chau, DMD

  • Dentist
  • Jackson, CA
National Provider Identifier
1699522722
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
110271 Issued in CA
Practice address
12150 New York Ranch Rd
Jackson, CA 95642-9407
Phone
(209) 257-2460
NPI assigned
May 6, 2024
Last updated
Jul 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS044622 PA
Dentist 122300000X 110271 CA Primary

Addresses

Primary practice location

12150 New York Ranch Rd
Jackson, CA 95642-9407

Mailing address

214 Apex Loop Apt 202
Folsom, CA 95630-6951
Phone (408) 568-7390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240807001840 CA Practitioner - Dentist 1456898543
I20241203002563 TX Practitioner - Dentist 1456898543 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110271CAMDDentist
DS044622PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
M a C T Health Board Incorporated Past Accepting new patients
M a C T Health Board, Incorporated Past Accepting new patients
M a C T Health Board Incorporated Past Accepting new patients
M a C T Health Board, Incorporated Past Accepting new patients
M a C T Health Board, Incorporated Dentist Past Accepting new patients
M a C T Health Board Incorporated Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nhuy.chau.p1@direct.macthealth.nextgenshare.com

Organizations & group practices 7

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": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1699522722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 APEX LOOP APT 202",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306951",
            "telephone_number": "408-568-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 NEW YORK RANCH RD",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956429407",
            "telephone_number": "209-257-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAU",
        "first_name": "NHU-Y",
        "middle_name": "NGUYEN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS044622",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "110271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, CA

Sources for this page

Verify at the official NPI Registry.