NPIMap

Individual provider Active NPI

Tam Hoang Nguyen, D.O.

  • Internal Medicine Physician
  • San Jose, CA
National Provider Identifier
1962520478
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A9636 Issued in CA
Practice address
200 Jose Figueres Ave Ste 180
San Jose, CA 95116-1586
Phone
(408) 258-5083
Fax
(408) 258-4347
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 20A9636 CA
Internal Medicine Physician 207R00000X 20A9636 CA Primary

Addresses

Primary practice location

200 Jose Figueres Ave Ste 180
San Jose, CA 95116-1586

Mailing address

4945 Palemetto Dunes CT
San Jose, CA 95138-2131
Phone (408) 258-5083

Other identifiers 1

IdentifierTypeStateIssuer
20A9636OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070725000300 CA Practitioner - Internal Medicine 7315048006 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Action Therapy Centers LimitedGroup PAC ID 3173433265, shared by 3 NPIs, 76 clinicians

Practice addresses (Care Compare)

200 Jose Figueres Ave
Suite 180
San Jose, CA 95116-1586
Phone (408) 258-5083

2365 Quimby Rd
Suite 160
San Jose, CA 95122-1337
Phone (408) 550-2750

4009 Bellaire Blvd
Suite M
Houston, TX 77025-1168

Hospital & facility affiliations

  • Centerwell Asian American Home Health Home health agency, Alameda, CA, CCN 557754
  • Sequoia Home Health Home health agency, Milpitas, CA, CCN 058496
  • Best Home Health Providers, Inc Home health agency, Hayward, CA, CCN 059546
  • Health Link Home Health Agency Home health agency, San Francisco, CA, CCN 059016
  • Ace Home Health Care & Hospice, Inc Home health agency, Orinda, CA, CCN 059461
  • Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441

Merit-based Incentive Payment System (MIPS)

Final score
22.52 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.05

Merit-based Incentive Payment System (MIPS)

Final score
23.97 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
79.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
9636CAMDAddiction (Substance Use Disorder) Counselor
20A9636CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Careathome Medical Practice Ca PC Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
Evergreen Urgent Care Inc CurrentSince Oct 5, 2017 Accepting new patients
Bay Area Hospital Physician Internal Medicine CurrentSince Jan 1, 2008 Accepting new patients
Valley Advantage Medical Group Inc Internal Medicine CurrentSince Aug 23, 2021 Accepting new patients
Silicon Valley Internist Group, Inc Internal Medicine CurrentSince Jan 13, 2012 Accepting new patients
East Bay Hospitalists, a Medical Corporation Hospitalist PastSince Jun 22, 2010 Accepting new patients
Elite Plus Medical Clinic Inc Internal Medicine PastSince Jul 23, 2024 Accepting new patients
Primary Plus Medical Clinic, Professional Corporation Internal Medicine PastSince Nov 14, 2023 Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

600 Anton Blvd
Fl 11
Costa Mesa, CA 92626
Phone (714) 371-4115

8833 Monterey Rd
Ste H
Gilroy, CA 95020
Phone (408) 842-1544

2365 Quimby Rd
Ste 160
San Jose, CA 95122
Phone (408) 246-9926

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

200 Jose Figueres Ave
Ste 180
San Jose, CA 95116
Phone (408) 258-5083

Organizations & group practices 9

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1962520478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4945 PALEMETTO DUNES CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951382131",
            "telephone_number": "408-258-5083",
            "fax_number": "408-258-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE STE 180",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161586",
            "telephone_number": "408-258-5083",
            "fax_number": "408-258-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TAM",
        "middle_name": "HOANG",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "20A9636",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A9636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "20A9636",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.