KHOA DANG NGUYEN (NPI# 1386962421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386962421 |
| Entity Type | Individual |
| Full Name | KHOA DANG NGUYEN |
| Credential | M.D. |
| Practice Address |
20103 Lake Chabot Rd Castro Valley CA 94546-5305 |
| Mailing Address |
3687 Mt Diablo Blvd Ste 200 Lafayette CA 94549-3746 |
| Practice Telephone | 5107273256 |
| Practice Fax Number | 5107273107 |
| Mailing Telephone | 9168546975 |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2020-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A111239 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | A111239 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17095 Main St, Hesperia, CA 923456004 | 7602416666 | 7609475619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336775394 | Khoa Van Dang Nguyen | Student in an Organized Health Care Education/Training Program | 7701 Lakewood Park Dr, Sacramento, CA 95828-4966 | 2020-03-20 |
| 1194386896 | Khoa Nguyen | Dentist | 2801 W Charleston Blvd, Las Vegas, NV 89102-1922 | 2019-06-24 |
| 1215597216 | Khoa Dinh Dang Nguyen | Pharmacist | 303 Nova Ct, Silver Spring, MD 20904-5902 | 2019-06-20 |
| 1588113567 | Khoa Dang Nguyen | Social Worker | 8855 Bergamo Cir, Stockton, CA 95212-3050 | 2016-10-01 |
| 1144620956 | Khoa Huu Nguyen | Dentist | 15836 Champion Forest Dr, Spring, TX 77379-7141 | 2014-08-28 |
| 1184037459 | Khoa Nguyen | Acupuncturist | 4011 Gamma St, San Diego, CA 92113-4014 | 2014-06-04 |
| 1639516982 | Khoa Phuong Nguyen | Dentist | 927 E Arques Ave # 171, Sunnyvale, CA 94085 | 2013-05-28 |
| 1447502786 | Khoa Dang Nguyen | Optometrist | 68-1845 Waikoloa Rd Ste 218, Waikoloa, HI 96738-5584 | 2012-10-10 |
| 1164789087 | Khoa M Nguyen | Pharmacist | 5230 Port Royal Rd, Springfield, VA 22151-2102 | 2012-04-17 |
| 1013294149 | Khoa Dang Nguyen | Pharmacist | 2525a Holly Hall St, Houston, TX 77054-4124 | 2011-11-03 |
| Street Address |
20103 LAKE CHABOT RD |
| City | CASTRO VALLEY |
| State | CA |
| Zip Code | 94546-5305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134122179 | Eden Medical Center | General Acute Care Hospital | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2005-05-23 |
| 1902412430 | Kenneth A Harris | Registered Nurse | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2020-09-21 |
| 1417568916 | Michael A Esparza Md Inc | Surgery | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2020-08-10 |
| 1417596289 | Linda Ann Scott-hickman | Pharmacist | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2019-12-27 |
| 1821598418 | Alyan Ali, M.d., Inc. | Internal Medicine | 20103 Lake Chabot Rd, Castro Valley, CA 94546 | 2018-02-20 |
| 1508374489 | David C Bonovich Md | Psychiatry & Neurology | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2018-01-13 |
| 1922511278 | Lisa Gaye Quan | Registered Nurse | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2017-11-08 |
| 1114439593 | David Paul Rathmann | Speech-Language Pathologist | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2017-10-25 |
| 1205378668 | Jacqueline Margolese | Nurse Practitioner | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2016-11-15 |
| 1386098309 | Travis Sunlum Lee | Internal Medicine | 20103 Lake Chabot Rd, Castro Valley, CA 94546 | 2016-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861991234 | For Your Eyes Only Ophthalmic Medical Corp. | Optometrist | 2687 Castro Valley Blvd., Castro Valley, CA 94546 | 2018-02-12 |
| 1821536954 | Webster Surgery Center, Lp | Clinic/Center | 20998 Redwood Dr, Castro Valley, CA 94546 | 2017-02-09 |
| 1639506215 | Jennifer Lee | Pharmacist | 20629 Redwood Road, Castro Valley, CA 94546 | 2013-09-27 |
| 1679860506 | Lauren Nicole Hill | Counselor | 20212 Redwood Rd Ste 104, Castro Valley, CA 94546 | 2011-06-29 |
| 1326330952 | Jeannette Villalobos | Counselor | 5248 Crane Avenue, Castro Valley, CA 94546 | 2011-05-16 |
| 1780992560 | Cherie Christine-vivona Clark | Physician Assistant | Eden Emergency Department, 20103 Lake Chabot Road, Castro Valley, CA 94546 | 2010-09-15 |
| 1518287218 | Rite Aid Incorporation | Community/Behavioral Health | 3548 Castro Valley Blv, Castro Valley, CA 94546 | 2010-06-03 |
| 1770719940 | Kristina Marie Sotto | Occupational Therapist | 20259 Lake Chabot Road, Castro Valley, CA 94546 | 2009-06-02 |
| 1861664203 | Bannanje R Nayak | Physical Medicine & Rehabilitation | 19830 Lake Chabot Road, Ste C, Castro Valley, CA 94546 | 2008-03-26 |
| 1205030202 | Yvonne Marie Jones | Social Worker | 2055 Fairmont Dr., San Leandro, CA 94546 | 2007-06-13 |
| Find all providers in zip 94546 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609991454 | George Wendell Bauer Jr. | Internal Medicine | 18286 Center Street, Castro Valley, CA 94546-1606 | 2007-03-20 |
| 1033280896 | Ling Xu, Md,inc. | Internal Medicine | 20130 Lake Chabot Rd., Suite #307, Castro Valley, CA 94546 | 2006-11-13 |
| 1376624742 | Petr Utrata | Internal Medicine | 19100 Crest Ave Apt 24, Castro Valley, CA 94546-2863 | 2006-10-18 |
| 1699724484 | Nabil Karim Abudayeh | Internal Medicine | 20700 Lake Chabot Road, Ste 107, Castro Valley, CA 94546-5402 | 2006-05-09 |
| 1821089129 | Rahel Teferi Ruiz | Internal Medicine | 18675 Buren Pl, Castro Valley, CA 94552-5281 | 2005-11-04 |
| 1477555811 | Saima Mahmood | Internal Medicine | 5618 Gold Creek Dr, Castro Valley, CA 94552-5440 | 2005-08-15 |
| 1386098309 | Travis Sunlum Lee | Internal Medicine | 20103 Lake Chabot Rd, Castro Valley, CA 94546 | 2016-04-15 |
| 1104288182 | John Tran | Internal Medicine | 20103 Lake Chabot Rd, Castro Valley, CA 94546 | 2016-03-28 |
| 1568861383 | Priyanka Saharan Jayan | Internal Medicine | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2014-08-18 |
| 1003235243 | Oluwaseyi Segun Balasire | Internal Medicine | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2014-04-15 |
| Find all providers in CASTRO VALLEY | ||||
| City | CASTRO VALLEY |
| Zip Code | 94546 |
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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.