Organization Active NPI

An Ngoc to MD Inc

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1700027216
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A363990 Issued in CA
Legal business name
AN NGOC TO MD INC
Practice address
87 N 6TH St
San Jose, CA 95112-5423
Phone
(408) 279-1180
Fax
(408) 279-6745
NPI assigned
Mar 12, 2009
Last updated
Feb 2, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
AN NGOC TO MD INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Authorized official

Name
Dr. An N To, M.D.NPI 1972528016
Title
Doctor
Phone
(408) 279-1180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A363990 CA Primary

Addresses

Primary practice location

87 N 6TH St
San Jose, CA 95112-5423

Mailing address

87 N 6TH St
San Jose, CA 95112-5423
Phone (408) 279-1180

Other identifiers 2

IdentifierTypeStateIssuer
4805916MedicaidCA
A28072OtherCAMEDICARE UPIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090506000087 CA Part B Supplier - Clinic/Group Practice 6002964822 Receives reassigned benefits from 2 practitioners
Practice locations: San Jose, CA

National Provider Directory

National Provider Directory
Part of
An Ngoc to MD Inc

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1700027216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 N 6TH ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951125423",
            "telephone_number": "408-279-1180",
            "fax_number": "408-279-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 N 6TH ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951125423",
            "telephone_number": "408-279-1180",
            "fax_number": "408-279-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AN NGOC TO MD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AN NGOC TO MD INC",
        "enumeration_date": "2009-03-12",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "TO",
        "authorized_official_first_name": "AN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "408-279-1180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A363990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4805916",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UPIN",
            "identifier": "A28072",
            "state": "CA"
        }
    ],
    "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 Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.