Individual provider Active NPI

Vivian Huyen Nguyen, PA-C

  • Physician Assistant
  • San Jose, CA
National Provider Identifier
1811583362
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA59227 Issued in CA
Practice address
1799 Hamilton Ave
San Jose, CA 95125-5425
Phone
(888) 530-4415
Fax
(833) 449-4676
NPI assigned
Dec 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA59227 CA Primary

Addresses

Primary practice location

1799 Hamilton Ave
San Jose, CA 95125-5425

Mailing address

1799 Hamilton Ave
San Jose, CA 95125-5425
Phone (888) 530-4415

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210809001342 CA Practitioner - Physician Assistant 6002210358 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA59227CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group CurrentSince Jan 15, 2024 Accepting new patients
Bass Medical Group CurrentSince Jan 15, 2024 Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

15899 Los Gatos Almaden Rd
Ste 12
Los Gatos, CA 95032
Phone (408) 358-2663

175 N Jackson Ave
Ste 200
San Jose, CA 95116
Phone (408) 384-7160

Interoperability endpoints

  • Direct secure messaging: vivian.nguyen.1@17371.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1811583362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 HAMILTON AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255425",
            "telephone_number": "888-530-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 HAMILTON AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255425",
            "telephone_number": "888-530-4415",
            "fax_number": "833-449-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VIVIAN",
        "middle_name": "HUYEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-18",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA59227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.