Active NPI
Audrey Nguyen
- Occupational Therapist
- South San Francisco, CA
National Provider Identifier
1891107363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 14290
- Practice address
- 395 Oyster Point Blvd
Ste 202
South San Francisco, CA 94080-1928 - Phone
- (650) 758-4700
- NPI assigned
- Jun 2, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 14290 | CA | Primary |
Addresses
Primary practice location
395 Oyster Point Blvd
Ste 202
South San Francisco, CA 94080-1928
Mailing address
14966 Terreno de Flores LN
Los Gatos, CA 95032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497830400000",
"number": "1891107363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14966 TERRENO DE FLORES LN",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "95032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 OYSTER POINT BLVD",
"address_2": "STE 202",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940801928",
"telephone_number": "650-758-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "AUDREY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-02",
"last_updated": "2017-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "14290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.