Bao Quoc Nguyen

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

W1631716 Issued in CA

Practice address

1400 Coleman Ave Ste E15-1
Santa Clara, CA 95050-4374

Phone

(408) 244-1743

NPI assigned

Nov 20, 2023

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1992570014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1473 BUENA LUNA CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284508",
            "telephone_number": "669-292-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 COLEMAN AVE STE E15-1",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504374",
            "telephone_number": "408-244-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "BAO",
        "middle_name": "QUOC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "W1631716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lan A, Nguyen-Suekawa
• Andrew Nguyen, RN
• Anh T. Nguyen, MD
• Anne Yen Nguyen, O.D.
• Audrey Thanh Nguyen, PHARMD
• Bic N. Nguyen, MD
• Bichphuong T. Nguyen, MD
• Bob H. Nguyen, MD
• Catherine My Hanh Nguyen, MD
• Christine Hoang Nguyen

• Behavior Technician in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.