Individual provider Active NPI

Hoang Manh Nguyen, D.O.

  • Cardiovascular Disease Physician
  • San Jose, CA
National Provider Identifier
1790995975
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
20A10655 Issued in CA
Practice address
696 E Santa Clara St
Suite 108
San Jose, CA 95112-1911
Phone
(408) 971-8441
Fax
(408) 295-6547
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 20A10655 CA Primary

Addresses

Primary practice location

696 E Santa Clara St
Suite 108
San Jose, CA 95112-1911

Mailing address

696 E Santa Clara St
Suite 108
San Jose, CA 95112-1911
Phone (408) 971-8441

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
I20130617000616 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1456421171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2360 McKee Rd
Suite 9
San Jose, CA 95116-1618
Phone (408) 708-7053

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
35.46 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
73.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair17
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A10655CAMDCardiovascular Disease Physician
10655CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hoang M Nguyen DO Inc CurrentSince May 20, 2017 Accepting new patients
County of Santa Clara Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Lansing Urgent Care, PLC Past Accepting new patients

Locations

321 San Felipe Rd
Ste 13
Hollister, CA 95023
Phone (408) 708-7053

175 N Jackson Ave
Ste 210
San Jose, CA 95116
Phone (408) 708-7053

2360 McKee Rd
Ste B9
San Jose, CA 95116

2360 McKee Rd
Ste 9
San Jose, CA 95116
Phone (408) 708-7053

2030 Forest Ave
Ste 110
San Jose, CA 95128
Phone (408) 292-7777

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: hnguyen125890@santaclaravalley.direct-ci.net

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1790995975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 E SANTA CLARA ST",
            "address_2": "SUITE 108",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951121911",
            "telephone_number": "408-971-8441",
            "fax_number": "408-295-6547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 E SANTA CLARA ST",
            "address_2": "SUITE 108",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951121911",
            "telephone_number": "408-971-8441",
            "fax_number": "408-295-6547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HOANG",
        "middle_name": "MANH",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "20A10655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.