Individual provider Active NPI

Tanphi Nguyen Ngo

  • Physical Therapy Assistant
  • Santa Clara, CA
National Provider Identifier
1972396778
Registry record updated May 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
51072 Issued in CA
Practice address
991 Clyde Ave
Santa Clara, CA 95054-1905
Phone
(408) 988-7667
NPI assigned
May 24, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 51072 CA Primary

Addresses

Primary practice location

991 Clyde Ave
Santa Clara, CA 95054-1905

Mailing address

4522 Jonquil Dr
San Jose, CA 95136-2057
Phone (714) 727-8870

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": "1748044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748044800000",
    "number": "1972396778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4522 JONQUIL DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951362057",
            "telephone_number": "714-727-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 CLYDE AVE",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950541905",
            "telephone_number": "408-988-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "TANPHI",
        "middle_name": "NGUYEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-24",
        "last_updated": "2025-05-24",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "51072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.