Individual provider Active NPI

Philippe T. Nguyen, MD

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1821160573
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C51974 Issued in CA
Practice address
1456 California St
San Francisco, CA 94109-4712
Phone
(415) 409-3456
Fax
(415) 500-2417
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X C51974 CA
Internal Medicine Physician 207R00000X C51974 CA Primary
Clinic/Center 261Q00000X C51974 CA

Addresses

Primary practice location

1456 California St
San Francisco, CA 94109-4712

Mailing address

1456 California St
San Francisco, CA 94109-4712
Phone (415) 409-3456

Other identifiers 2

IdentifierTypeStateIssuer
00C519740MedicaidCA
00C519740OtherCABCBS OF CA

Other names 1

  • Trung Thanh Nguyen Former name

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
I20051109000641 CA Practitioner - Internal MedicinePractitioner - General Practice 2668456120 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C51974CAMDClinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Marin Hospitalist Medical Group, Inc. Internal Medicine CurrentSince Jul 1, 2009 Accepting new patients
El Camino Health Medical Network, LLC Clinic/Center Past Accepting new patients
Cogent Healthcare of California, PC Internal Medicine Past Accepting new patients
Marin General Hospital Clinic/Center Past Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
Cogent Healthcare of California, PC Internal Medicine Past Accepting new patients

Locations

250 Bon Air Rd
Rm 3209
Greenbrae, CA 94904
Phone (415) 925-7545

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

Organizations & group practices 6

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1821160573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 CALIFORNIA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094712",
            "telephone_number": "415-409-3456",
            "fax_number": "415-500-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 CALIFORNIA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094712",
            "telephone_number": "415-409-3456",
            "fax_number": "415-500-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PHILIPPE",
        "middle_name": "T.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "C51974",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C51974",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "C51974",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C519740",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF CA",
            "identifier": "00C519740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRUNG",
            "last_name": "NGUYEN",
            "middle_name": "THANH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.