Active NPI
Kathy My Nguyen, D.C.
- Chiropractor
- San Jose, CA
National Provider Identifier
1841474806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC30725
- Practice address
- 940 Story Rd
San Jose, CA 95122-2629 - Phone
- (408) 998-0808
- Fax
- (408) 998-0829
- NPI assigned
- Dec 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 30725 | CA | |
| Chiropractor | 111N00000X | DC30725 | CA | Primary |
Addresses
Primary practice location
940 Story Rd
San Jose, CA 95122-2629
Mailing address
940 Story Rd
San Jose, CA 95122-2629
Phone (408) 998-0808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30725 | Other | CA | LICENSE NO |
Other names 1
- Mydung Thi Nguyen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201123001500 | CA | Practitioner - Chiropractic | 7214099613 | Practice locations: San Jose, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
940 Story Rd
San Jose, CA 95122-2629
Phone (408) 998-0808
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC30725 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412208000000",
"number": "1841474806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 STORY RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951222629",
"telephone_number": "408-998-0808",
"fax_number": "408-998-0829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 STORY RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951222629",
"telephone_number": "408-998-0808",
"fax_number": "408-998-0829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KATHY",
"middle_name": "MY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-26",
"last_updated": "2014-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "30725",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC30725",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NO",
"identifier": "30725",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MYDUNG",
"last_name": "NGUYEN",
"middle_name": "THI",
"credential": "D.C.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.