Individual provider Active NPI

Kathy Nguyen

  • Occupational Therapist
  • San Jose, CA
National Provider Identifier
1730926635
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
27699 Issued in CA
Practice address
5598 Entrada Cedros Ste 10
San Jose, CA 95123-3120
Phone
(408) 268-8536
NPI assigned
Jul 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Occupational Therapist 225X00000X 27699 CA Primary

Addresses

Primary practice location

5598 Entrada Cedros Ste 10
San Jose, CA 95123-3120

Mailing address

1601 Shreen CT
San Jose, CA 95124-4847
Phone (408) 561-1421

Other practice location 1

1400 Emeline Ave # 1976
Santa Cruz, CA 95060-1976
Phone (831) 454-4170

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250702004083 CA Practitioner - Occupational Therapist in Private Practice 1153834031 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Basil R Besh MD IncGroup PAC ID 1658363965, 4 clinicians
Hands-on-CareGroup PAC ID 3971682311, 5 clinicians

Practice addresses (Care Compare)

39180 Farwell Dr
Suite 211
Fremont, CA 94538-1015
Phone (510) 857-1000

5598 Entrada Cedros
Suite 10
San Jose, CA 95123-3120
Phone (408) 268-8536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27699CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Basil R Besh MD Inc CurrentSince Feb 17, 2026 Accepting new patients
Hands-on-Care Occupational Therapist CurrentSince Jun 1, 2025 Accepting new patients

Locations

39180 Farwell Dr
Ste 231
Fremont, CA 94538
Phone (510) 585-2545

39180 Farwell Dr
Ste 211
Fremont, CA 94538
Phone (510) 857-1000

5598 Entrada Cedros
Ste 10
San Jose, CA 95123
Phone (408) 242-9330

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1730926635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 SHREEN CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244847",
            "telephone_number": "408-561-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5598 ENTRADA CEDROS STE 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951233120",
            "telephone_number": "408-268-8536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Emeline Ave # 1976",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950601976",
            "country_code": "US",
            "telephone_number": "831-454-4170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KATHY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "27699",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.