Active NPI
Diana Ngoc Nguyen, PA-C
- Medical Physician Assistant
- San Jose, CA
National Provider Identifier
1861834400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA23066
- Practice address
- 667 N White Rd
San Jose, CA 95127-1447 - Phone
- (408) 646-8590
- NPI assigned
- Jul 24, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA23066 | CA | Primary |
Addresses
Primary practice location
667 N White Rd
San Jose, CA 95127-1447
Mailing address
667 N White Rd
San Jose, CA 95127-1447
Phone (408) 646-8590
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA23066 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California San Francisco | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients |
Locations
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114
Interoperability endpoints
- dnguyen73002@direct-ucsfmedicalcenter.org
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.
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1023063542
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
- Emergency Medicine Physician
- San Jose, CA
- NPI 1881632149
-
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1659141711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374624000000",
"number": "1861834400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "667 N WHITE RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951271447",
"telephone_number": "408-646-8590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "667 N WHITE RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951271447",
"telephone_number": "408-646-8590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "DIANA",
"middle_name": "NGOC",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-24",
"last_updated": "2013-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA23066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 24, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.