Dr. Queen Family Medicine

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

20A8237 Issued in CA

Legal business name

DR. QUEEN FAMILY MEDICINE

Practice address

1675 Burdette Dr Ste 20
San Jose, CA 95121-1667

Phone

(408) 274-6944

Fax

(408) 274-2258

NPI assigned

May 21, 2015

Last updated

May 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Quynh Queen Nguyen, D.O.NPI 1598791352

Title

Owcer

Phone

(408) 274-6944

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Quynh Queen A Nguyen, DO

  • Family Medicine Physician
  • San Jose, CA
  • NPI 1598791352
  NPD (past) Authorized official
• Kevin Ray Herrick, MD

  • Family Medicine Physician
  • Hollister, CA
  • NPI 1598847543
  NPD (past)

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1710366828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 BURDETTE DR STE 20",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211667",
            "telephone_number": "408-274-6944",
            "fax_number": "408-274-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 BURDETTE DR STE 20",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211667",
            "telephone_number": "408-274-6944",
            "fax_number": "408-274-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. QUEEN FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "QUYNH QUEEN",
        "authorized_official_title_or_position": "OWCER",
        "authorized_official_telephone_number": "408-274-6944",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "20A8237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX82370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Jacqueline B. Nguyen, DDS, Apc (Evergreen Dentists)
• Dr. Jennifer Barton, Psy.D, PLLC
• Dr. Jordan Howard Green Medical Corporation
• Dr. Khanh Bui, O.D., P.C. (Envision Optometry)
• Dr. Nader Tabibzadeh DDS Dental Corporation
• Dr. Rosalinda a. Mandreza, Inc
• Dr. Teri Thuy Ngoc Tran, D.C.
• Dr. Tracy Thu Le Chiropractic, Inc.
• Dr.Swathi Upadhyaya Dental Corporation
• Ashley Lynn Dragoman, MD

• Health Service Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.