DR. TUNG THANH NGUYEN (NPI# 1013982024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013982024 |
| Entity Type | Individual |
| Full Name | DR. TUNG THANH NGUYEN |
| Credential | DO |
| Practice Address |
621 Tully Rd Suite 105 San Jose CA 95111-1013 |
| Practice Telephone | 4082792988 |
| Practice Fax Number | 4082792981 |
| Mailing Telephone | 4082792988 |
| Mailing Fax Number | 4082792981 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2013-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20A8238 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0088650 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700038577 | Tung Huu Nguyen | Internal Medicine | 9822 Bolsa Ave Ste F, Westminster, CA 92683-6870 | 2008-10-10 |
| 1811015118 | Tung Xuan Nguyen | Dentist | 2739 W Edinger Ave, Santa Ana, CA 92704-3523 | 2007-03-26 |
| 1700996881 | Tung Duc Nguyen | Pediatrics | 6404-k Seven Corners Place, Falls Church, VA 22044 | 2006-08-30 |
| 1245248103 | Tung Van Nguyen | Family Medicine | 657 Vinings Estates Dr Se, Mableton, GA 30126 | 2006-08-04 |
| 1285679449 | Tung Cong Nguyen | Family Medicine | 2509 W 1st St, Santa Ana, CA 92703-3401 | 2006-06-19 |
| 1700410479 | Tung Nguyen | Student in an Organized Health Care Education/Training Program | 622 W 168th St, New York, NY 10032-3720 | 2020-03-02 |
| 1790282432 | Tung Thanh Nguyen | Pharmacist | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2018-04-10 |
| 1164950861 | Tung Nguyen | Pharmacist | 600 W Main St, Santa Paula, CA 93060-3124 | 2017-05-25 |
| 1700317120 | Tung Nguyen | Student in an Organized Health Care Education/Training Program | 3601 4th St, Lubbock, TX 79430-0002 | 2017-03-27 |
| 1316399363 | Tung Xuan Nguyen | Pharmacist | 323 N Sanborn Rd Ste A, Salinas, CA 93905-2243 | 2016-07-01 |
| Street Address |
621 TULLY RD SUITE 105 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95111-1013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841633625 | Anh Dao Ngo | Nurse Practitioner | 621 Tully Rd, San Jose, CA 95111-1013 | 2013-04-11 |
| 1962736926 | Gina N Bui | General Practice | 621 Tully Rd, #a105, San Jose, CA 95111-1013 | 2009-09-23 |
| 1558531962 | Tung T. Nguyen, D.o., Inc. | Clinic/Center | 621 Tully Rd, Suite A 105, San Jose, CA 95111-1013 | 2008-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134667413 | Aldo Hernandez | Community Health Worker | 488 Skyway Dr, San Jose, CA 95111 | 2017-02-07 |
| 1518217017 | Jean Jennifer J Soliven | Registered Nurse | 614 Tully Rd., San Jose, CA 95111 | 2012-09-12 |
| 1679894604 | Julie Chi | Counselor | 581 Coyote Road, San Jose, CA 95111 | 2010-06-14 |
| 1720278179 | Mv Transportation | Non-emergency Medical Transport (VAN) | 555 Tully Road, Mv Transportation, San Jose, CA 95111 | 2007-07-31 |
| 1437355948 | Anthony Cozzolino | Psychiatry & Neurology | 614 Tully Road, Narvaez Mental Health, San Jose, CA 95111 | 2007-06-22 |
| 1750403515 | Karen Pham | Dentist | 4074 Monterey Road, San Jose, CA 95111 | 2007-04-04 |
| 1376697847 | Mai Anh Le | Dentist | 60 Senter Rd, San Jose, CA 95111 | 2007-01-22 |
| 1649335852 | Bui and Enriquez Dental Corporation | Dentist | 485 Lewis Rd, Suite A, San Jose, CA 95111 | 2006-12-27 |
| 1619031903 | Huyen Thu Nguyen | Pharmacist | 796 Apple Terrace, San Jose, CA 95111 | 2006-12-20 |
| 1285720342 | Lily Khanh-linh Thi Nguyen | Obstetrics & Gynecology | 500 W Tully Rd, Ob/gyn Clinic, San Jose, CA 95111 | 2006-10-05 |
| Find all providers in zip 95111 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922658723 | Mai Medical, Inc. | Family Medicine | 2641 Senter Rd, San Jose, CA 95111-1122 | 2019-09-13 |
| 1740712421 | Emily Hsiao | Family Medicine | 276 International Cir Unit D, San Jose, CA 95119-1130 | 2017-03-31 |
| 1629526264 | John Heringer | Family Medicine | 2823 Cardinal Ln, San Jose, CA 95125-4800 | 2016-09-12 |
| 1598152043 | Shoaib Khalid | Family Medicine | 6658 Mount Holly Dr, San Jose, CA 95120-1931 | 2015-04-22 |
| 1942604665 | Kyaw Min | Family Medicine | 2395 Montpelier Dr Ste 4, San Jose, CA 95116-1619 | 2014-10-09 |
| 1679996151 | Qingbo Sui | Family Medicine | 1870 Lundy Avenue, San Jose, CA 95131-1826 | 2014-02-04 |
| 1972938801 | Claudine Lott | Family Medicine | 145 Nicholson Ln, San Jose, CA 95134 | 2013-09-11 |
| 1689016271 | Valerie Halls | Family Medicine | 276 International Cir Unit G, San Jose, CA 95119-1130 | 2013-07-23 |
| 1114366572 | Maryam Kalami | Family Medicine | 1451 Regalo Ct, San Jose, CA 95128-4523 | 2013-06-19 |
| 1750725511 | Sreelata Kintala | Family Medicine | 746 The Alameda Ste 10, San Jose, CA 95126-3178 | 2013-04-24 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.