Individual provider Active NPI

Thuy Bao Nguyen, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • San Francisco, CA
National Provider Identifier
1811228059
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A107870 Issued in CA
Practice address
505 Parnassus Ave
M580
San Francisco, CA 94143-2204
Phone
(415) 353-7359
NPI assigned
Jan 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A107870 CA Primary

Addresses

Primary practice location

505 Parnassus Ave
M580
San Francisco, CA 94143-2204

Mailing address

185 Berry St
Lobby 5, Suite 100, Box 0506
San Francisco, CA 94107-5705

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
I20130531000405 CA Practitioner - Pathology 7113165226 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of California, San Francisco School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Pathologists Medical Group IncGroup PAC ID 2961485925, 17 clinicians

Practice addresses (Care Compare)

1501 Trousdale Dr
Burlingame, CA 94010-4506
Phone (650) 696-5400

Hospital & facility affiliations

  • Peninsula Medical Center Hospital, Burlingame, CA, CCN 050007
  • El Camino Health Hospital, Mountain View, CA, CCN 050308
  • California Pacific Medical Center- Van Ness Campus Hospital, San Francisco, CA, CCN 050047
  • Novato Community Hospital Hospital, Novato, CA, CCN 050131
  • Sequoia Hospital Hospital, Redwood City, CA, CCN 050197

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Apr 13, 2015 Accepting new patients
County of San Mateo CurrentSince Oct 17, 2016 Accepting new patients
County of San Mateo CurrentSince Oct 17, 2016 Accepting new patients
County of San Mateo Current Accepting new patients
Sutter Bay Medical Foundation CurrentSince Apr 13, 2015 Accepting new patients
Peninsula Pathologists Medical Group Inc. Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2013 Accepting new patients
County of San Mateo CurrentSince Sep 15, 2018 Accepting new patients
Peninsula Pathologists Medical Group CurrentSince Jul 1, 2013 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

1501 Trousdale Dr
Burlingame, CA 94010
Phone (650) 696-3520

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

795 El Camino Real
#1112
Palo Alto, CA 94301

290 Redwood Shores Pkwy
Redwood City, CA 94065
Phone (650) 598-3160

505 Parnassus Ave
#M580
San Francisco, CA 94143
Phone (415) 353-1613

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

12935 Alcosta Blvd
Unit 3888
San Ramon, CA 94583

383 E Grand Ave
Ste A
South San Francisco, CA 94080
Phone (650) 616-2951

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

Interoperability endpoints

  • Direct secure messaging: tnguyen21211@smch.direct-ci.com

Organizations & group practices 9

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 8

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": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1811228059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 BERRY ST",
            "address_2": "LOBBY 5, SUITE 100, BOX 0506",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941075705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE",
            "address_2": "M580",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432204",
            "telephone_number": "415-353-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THUY",
        "middle_name": "BAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A107870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.