SALLY THANHTHANH NGUYEN (NPI# 1710396148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710396148 |
| Entity Type | Individual |
| Full Name | SALLY THANHTHANH NGUYEN |
| Credential | RN, BSN, PHN |
| Practice Address |
614 Tully Rd San Jose CA 95111-1048 |
| Practice Telephone | 4084941500 |
| Practice Fax Number | 4084941557 |
| Mailing Telephone | 4084941500 |
| Mailing Fax Number | 4084941557 |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2014-08-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
850359 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588016919 | Sally Tam Nguyen | Optometrist | 8055 Churchill Way, Dallas, TX 75251-2149 | 2016-07-11 |
| 1316342793 | Sally Quach Nguyen | Occupational Therapist | 489 Los Coches St, Milpitas, CA 95035-5422 | 2014-10-28 |
| 1174944821 | Sally My Nguyen | Nurse Practitioner | 5505 E Harry St, Wichita, KS 67218-3825 | 2013-12-25 |
| 1578883054 | Sally Thi Nguyen | Social Worker | 100 Grand St, New Britain, CT 06052 | 2010-06-07 |
| 1245468750 | Sally Nguyen | Occupational Therapist | 310 Smith Ave N Ste 360, St Paul, MN 55102-2383 | 2009-06-24 |
| Street Address |
614 TULLY RD |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95111-1048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699843060 | Minh Chau Duong | Counselor | 614 Tully Rd, San Jose, CA 95111-1048 | 2006-12-01 |
| 1629630421 | Sonia Clemente | Counselor | 614 Tully Rd, San Jose, CA 95111-1048 | 2019-07-01 |
| 1376109629 | Gardner Family Health Network Inc | Community/Behavioral Health | 614 Tully Rd, San Jose, CA 95111-1048 | 2019-05-13 |
| 1316406481 | Ngoc Nguyen Hong Pham | Social Worker | 614 Tully Rd, San Jose, CA 95111-1048 | 2019-03-18 |
| 1386114437 | Eloisa Ivette Rodriguez | Social Worker | 614 Tully Rd, San Jose, CA 95111-1048 | 2018-12-03 |
| 1275016669 | Carolina Garcia | Rehabilitation Counselor | 614 Tully Rd, San Jose, CA 95111-1048 | 2018-09-11 |
| 1326572959 | Mar Joseph Odias | Registered Nurse | 614 Tully Rd, San Jose, CA 95111-1048 | 2017-04-20 |
| 1770021206 | Ryan Pagala | Registered Nurse | 614 Tully Rd, San Jose, CA 95111-1048 | 2017-02-03 |
| 1134667652 | Veronica Pham | Registered Nurse | 614 Tully Rd, San Jose, CA 95111-1048 | 2017-02-03 |
| 1952849481 | Michael Borromeo | Registered Nurse | 614 Tully Rd, San Jose, CA 95111-1048 | 2017-02-03 |
| Find all providers in the same location | ||||
| 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 | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407208846 | Mary Azah | Registered Nurse | 160 E Virginia St Ste 100, San Jose, CA 95112-5865 | 2016-07-11 |
| 1518237536 | M Berenice Soto | Registered Nurse | 976 Lenzen Ave, San Jose, CA 95126-6216 | 2012-01-06 |
| 1376772368 | Lai Kuen Chu | Registered Nurse | 1715 Lundy Ave, Suites 108-116, San Jose, CA 95131-1837 | 2009-07-10 |
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|---|---|---|---|---|
| 1497361430 | Marilyn Dormubari Sunday | Registered Nurse | 7511 Clear Lake Aly, Sacramento, CA 95829-8743 | 2020-09-16 |
| 1992315451 | Michelle Patino | Registered Nurse | 615b 2nd St, Petaluma, CA 94952-5123 | 2020-08-08 |
| 1144846080 | Paloma Beope Soriano | Registered Nurse | 4302 Valeta St, San Diego, CA 92107-1510 | 2020-06-16 |
| 1942822747 | Holly Sears Chisholm | Registered Nurse | 9619 Cuyamaca St # 19428, Santee, CA 92071-2674 | 2020-05-14 |
| 1952937658 | Mariam Gbaty Soumahoro | Registered Nurse | 3800 Silver Spur Way, Sacramento, CA 95841-4411 | 2020-03-14 |
| 1194350967 | Letisha Kathleen Kingsbury | Registered Nurse | 724 Granada Dr, Vista, CA 92083-4731 | 2020-03-11 |
| 1215576236 | Jocelyn Raquel Raedeker-freitas | Registered Nurse | 3165 B St, San Diego, CA 92102-2359 | 2019-12-23 |
| 1861030710 | Michelle Galang | Registered Nurse | 658 Rainbow Dr, Chula Vista, CA 91911-6844 | 2019-12-11 |
| 1023655172 | David Delgado | Registered Nurse | 27425 Bolandra Ct, Temecula, CA 92591-6123 | 2019-12-09 |
| 1104473297 | Shokoufeh Shokri | Registered Nurse | 2951 Mainway Dr, Los Alamitos, CA 90720-4646 | 2019-08-22 |
| Find all providers with the same taxonomy | ||||
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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.