Individual provider Active NPI

Khoi N Hoang, MD

  • Nephrology Physician
  • San Jose, CA
National Provider Identifier
1821099359
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A63481 Issued in CA
Practice address
2440 Samaritan Dr Ste 1
San Jose, CA 95124-3911
Phone
(408) 356-3698
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A63481 CA Primary

Addresses

Primary practice location

2440 Samaritan Dr Ste 1
San Jose, CA 95124-3911

Mailing address

2350 W El Camino Real FL 2
Mountain View, CA 94040-6203

Other identifiers 1

IdentifierTypeStateIssuer
00A634810MedicaidCA

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
I20051207000738 CA Practitioner - NephrologyPractitioner - Internal Medicine 5890716724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

1525 Meridian Ave
Suite 101
San Jose, CA 95125-5354
Phone (408) 269-3600

2400 Samaritan Dr
San Jose, CA 95124-3910

2425 Samaritan Dr
San Jose, CA 95124-3908
Phone (408) 559-2011

370 Distel Cir
Los Altos, CA 94022-1404
Phone (650) 254-5200

550 S Green Valley Rd
Watsonville, CA 95076-3053
Phone (831) 458-5865

795 El Camino Real
Palo Alto, CA 94301-2302
Phone (415) 600-1020

815 Pollard Rd
Los Gatos, CA 95032-1438
Phone (408) 378-6131

Hospital & facility affiliations

  • SHC Blossom Valley Dialysis facility, San Jose, CA, CCN 552827
  • SHC WB Milpitas Dialysis facility, Milpitas, CA, CCN 552558
  • SHC Santa Teresa Dialysis facility, San Jose, CA, CCN 552635
  • SHC WB San Jose Dialysis facility, San Jose, CA, CCN 052891
  • SHC South San Jose Dialysis facility, San Jose, CA, CCN 052600
  • Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380
  • El Camino Health Hospital, Mountain View, CA, CCN 050308
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441
  • El Camino Hosp of Los Gatos Inpatient rehabilitation facility, Los Gatos, CA, CCN 05T308

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A63481CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Mar 19, 2018 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Mar 19, 2018 Accepting new patients
El Camino Hospital Past Accepting new patients
El Camino Hospital Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients

Locations

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

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

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

2350 W El Camino Real
Fl 2
Mountain View, CA 94040
Phone (650) 691-6174

795 El Camino Real
#1112
Palo Alto, CA 94301

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

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

2400 Samaritan Dr
Ste 203
San Jose, CA 95124
Phone (408) 369-5600

2440 Samaritan Dr
Ste 1
San Jose, CA 95124
Phone (408) 478-6750

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

2128 Soquel Ave
Santa Cruz, CA 95062
Phone (831) 425-0727

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

Interoperability endpoints

  • Direct secure messaging: khoang244946@hisp.ehr.sutterhealth.org

Organizations & group practices 7

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1821099359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 W EL CAMINO REAL FL 2",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940406203",
            "fax_number": "408-356-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 SAMARITAN DR STE 1",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243911",
            "telephone_number": "408-356-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "KHOI",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A63481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A634810",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.