Individual provider Active NPI

Thu Ngoc Diem Nguyen, D.C

  • Chiropractor
  • San Jose, CA
National Provider Identifier
1750724365
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC32512 Issued in CA
Practice address
2858 Stevens Creek Blvd Ste 208
San Jose, CA 95128-4607
Phone
(408) 502-9761
Fax
(408) 502-9758
NPI assigned
Apr 12, 2013
Last updated
Apr 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC32512 CA Primary

Addresses

Primary practice location

2858 Stevens Creek Blvd Ste 208
San Jose, CA 95128-4607

Mailing address

2858 Stevens Creek Blvd Ste 208
San Jose, CA 95128-4607
Phone (408) 502-9761

Other identifiers 2

IdentifierTypeStateIssuer
13232014100066OtherCACNN
5301458522OtherCADOT MEDICAL EXAMINER

Other names 1

  • Dr. Thu Nguyen Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC32512CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1750724365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2858 STEVENS CREEK BLVD STE 208",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284607",
            "telephone_number": "408-502-9761",
            "fax_number": "408-502-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2858 STEVENS CREEK BLVD STE 208",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284607",
            "telephone_number": "408-502-9761",
            "fax_number": "408-502-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THU",
        "middle_name": "NGOC DIEM",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-12",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC32512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNN",
            "identifier": "13232014100066",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOT MEDICAL EXAMINER",
            "identifier": "5301458522",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THU",
            "last_name": "NGUYEN",
            "prefix": "DR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Apr 30, 2020; 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.