Phuong Thi Ngoc Nguyen

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

95017978 Issued in CA

Practice address

1569 Lexann Ave Ste 120
San Jose, CA 95121-1794

Phone

(408) 270-4267

NPI assigned

Feb 27, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Cardiology Clinic of Northern California

  • Medical Specialty Clinic/Center
  • San Jose, CA
  • NPI 1841598323
  Medicare reassignment
• One Health Medical Foundation

  • Family Medicine Physician
  • San Jose, CA
  • NPI 1093310583
  NPD
• Tuan V. Phan, M.D. Inc.

  • Family Medicine Physician
  • San Jose, CA
  • NPI 1134379183
  NPD
• One Health Primary Care LLC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1326587213
  NPD (past)

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1922707272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 LEXANN AVE STE 120",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 LEXANN AVE STE 120",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211794",
            "telephone_number": "408-270-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PHUONG",
        "middle_name": "THI NGOC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95017978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phung Kim Nguyen, FNP
• Phuocai Nguyen, M.A.
• Phuong Hoang Nguyen, MD
• Phuong Thao Nguyen, MD
• Phuong Thi Nguyen, ASW
• Phuong Thi-Tuyet Nguyen
• Phuongha Le Nguyen, DDS
• Phylicia Thien Phuoc Nguyen
• Quan Vo-Anh Nguyen, D.D.S.
• Quochung Nguyen

• Women's Health Nurse Practitioner in San Jose, CA
• Providers in San Jose, CA by specialty
• Women's Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.

Verify at the official NPI Registry.