Individual provider Active NPI

Ngon Hoang Dinh, DO

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • San Jose, CA
National Provider Identifier
1730156027
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
20A6290 Issued in CA
Practice address
200 Jose Figueres Ave Ste 290
San Jose, CA 95116-1587
Phone
(408) 251-9700
Fax
(408) 251-9799
NPI assigned
Mar 5, 2006
Last updated
Sep 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X 20A6290 CA Primary

Addresses

Primary practice location

200 Jose Figueres Ave Ste 290
San Jose, CA 95116-1587

Mailing address

702 E Santa Clara St
Ste 2
San Jose, CA 95112-1919
Phone (408) 279-6700

Other identifiers 1

IdentifierTypeStateIssuer
00AX62900MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050714000977 CA Practitioner - Otolaryngology 6406882018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
College of Osteo Med of the Pacific at Pomona, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Jose Figueres Ave
Suite 290
San Jose, CA 95116-1587
Phone (408) 251-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A6290CAMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician
6290CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ngon Hoang Dinh DO a Professional Corporation Plastic Surgery Within the Head & Neck CurrentSince Aug 28, 2007 Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

200 Jose Figueres Ave
Ste 290
San Jose, CA 95116
Phone (408) 251-9700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ndinh125641@santaclaravalley.direct-ci.net

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": "1141516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1730156027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 E SANTA CLARA ST",
            "address_2": "STE 2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951121919",
            "telephone_number": "408-279-6700",
            "fax_number": "408-279-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE STE 290",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161587",
            "telephone_number": "408-251-9700",
            "fax_number": "408-251-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINH",
        "first_name": "NGON",
        "middle_name": "HOANG",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-05",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "CA",
            "license": "20A6290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX62900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.