Tao Van Nguyen, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A45407 Issued in CA

Practice address

1661 Burdette Dr Ste B
San Jose, CA 95121

Phone

(408) 238-4542

Fax

(408) 238-4542

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Psychiatry

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hoi-Quan Cuu Long Mekong Community Center IncGroup PAC ID 1658305313, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hoi-Quan Cuu Long Mekong Community Center Inc

  dba Mekong Community Center

  • Community/Behavioral Health Agency
  • San Jose, CA
  • NPI 1548318199

  Psychiatry

  Medicare reassignment Care Compare group NPD
• Hope Services

  • Community/Behavioral Health Agency
  • San Jose, CA
  • NPI 1861445306
  Medicare reassignment NPD
• Hope Services

  • Community/Behavioral Health Agency
  • Mountain View, CA
  • NPI 1043571730
  NPD

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1861587446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 BURDETTE DR STE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211681",
            "telephone_number": "408-238-4542",
            "fax_number": "408-238-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 BURDETTE DR STE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95121",
            "telephone_number": "408-238-4542",
            "fax_number": "408-238-4542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1555 Parkmoor Ave",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951282407",
            "country_code": "US",
            "telephone_number": "408-282-0402",
            "fax_number": "408-282-0400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1661 Burdette Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "95121",
            "country_code": "US",
            "telephone_number": "408-238-4542",
            "fax_number": "408-238-4542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TAO",
        "middle_name": "VAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A45407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A454070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tam Vo Nguyen, PHARMD
• Tammy Nguyen, O.D.
• Tan P Nguyen
• Tanya Nguyen
• Tanya Nguyen
• Teresa Nguyen, LMFT
• Teresa Hoang Lan Nguyen
• Thachtu Le Nguyen, DDS
• Thang Quoc Nguyen
• Thang Toan Nguyen, PHARM.D.

• Psychiatry Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.