KIM THAO THI NGUYEN (NPI# 1790133007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790133007 |
| Entity Type | Individual |
| Full Name | KIM THAO THI NGUYEN |
| Practice Address |
25 N 14th St Suite 550 San Jose CA 95112 |
| Practice Telephone | 4082943922 |
| Practice Fax Number | 4082944657 |
| Mailing Telephone | 4082943922 |
| Mailing Fax Number | 4082944657 |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-05-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225600000X | Dance Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
25 N 14TH ST SUITE 550 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558366047 | Bruce J Dreyfuss | Internal Medicine | 25 N 14th St, Ste 890, San Jose, CA 95112-6216 | 2005-06-20 |
| 1225645351 | Edgardo J Solorzano | Case Manager/Care Coordinator | 25 N 14th St, San Jose, CA 95112-6204 | 2020-09-23 |
| 1285272013 | Gregory Kamph | Case Management | 25 N 14th St, San Jose, CA 95112-6204 | 2019-12-11 |
| 1407413834 | Yadira Tejeda | Case Manager/Care Coordinator | 25 N 14th St, San Jose, CA 95112-6204 | 2019-05-21 |
| 1235627514 | Erinn Mcnab | Social Worker | 25 N 14th St, San Jose, CA 95112-6204 | 2018-04-23 |
| 1053808808 | Andrea Lynn Cornett | Counselor | 25 N 14th St, San Jose, CA 95112-6204 | 2018-04-17 |
| 1720580178 | Lucila Chavez | Counselor | 25 N 14th St, San Jose, CA 95112-6204 | 2018-03-01 |
| 1144775909 | A Balanced Approach To Counseling | Counselor | 25 N 14th St, Suite 620, San Jose, CA 95112-6204 | 2016-08-22 |
| 1063873792 | Natalia Vassilieva | Physical Therapy Assistant | 25 N 14th St, Suite 550, San Jose, CA 95112-6204 | 2016-03-08 |
| 1144693193 | Raymond Chan | Physical Therapy Assistant | 25 N 14th St, 550, San Jose, CA 95112-6204 | 2015-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443407 | Khady Fall | Behavior Technician | 408 494 1561, 614 Tully Road, San Jose, CA 95112 | 2020-07-02 |
| 1538791124 | Vianey Martinez | Social Worker | 290 N Second Street, San Jose, CA 95112 | 2020-02-11 |
| 1083254262 | Tessa Dobrin Zapalac | Behavior Technician | 1887 Monterey Road, Suite 225, San Jose, Ca 95112, San Jose, CA 95112 | 2020-01-15 |
| 1508404716 | Emilie Caitlin Leach | Counselor | 290 N 2nd St, San Jose, CA 95112 | 2019-12-18 |
| 1699313080 | Juan Carlos Mercado | Marriage & Family Therapist | 290 North 2nd St, San Jose, CA 95112 | 2019-12-16 |
| 1386288017 | Path (people Assisting The Homeless) | Case Manager/Care Coordinator | 290 N. 2nd Street San Jose Ca, San Jose, CA 95112 | 2019-11-06 |
| 1316588528 | Loralee Crystal Garcia | Technician | 546 N. 3rd Street #7, San Jose, CA 95112 | 2019-09-30 |
| 1306316922 | Patricia Calatraba Swofford | Marriage & Family Therapist | 232 E. Gish Rd., San Jose, CA 95112 | 2018-11-27 |
| 1134606932 | Ana Alicia Castro-banderas | Social Worker | 160 E Virginia St., Suite 100, San Jose, CA 95112 | 2018-07-24 |
| 1275035750 | Theresa Khong | Behavior Technician | 1887 Monterey Hwy. Suite 225, San Jose, CA 95112 | 2018-03-01 |
| Find all providers in zip 95112 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093326324 | Kyungmo Han | Specialist/Technologist | Department of Kinesiology One Washington Square, San Jose, CA 95192-0001 | 2020-08-11 |
| 1518587021 | Scott Allen Zimmerman | Specialist/Technologist | 5000 Mitty Way, San Jose, CA 95129-1868 | 2020-04-24 |
| 1407406788 | Binh Hung Ton-that | Specialist/Technologist | 4198 Gion Ave, San Jose, CA 95127-1908 | 2019-09-18 |
| 1184279226 | Tanner Fowler | Specialist/Technologist | 1306 The Alameda Apt 221, San Jose, CA 95126-5014 | 2019-08-06 |
| 1447804521 | Michael Tai Tang | Specialist/Technologist | 424 S 7th St, San Jose, CA 95112-3809 | 2019-07-28 |
| 1376001784 | Wilson Hsieh | Specialist/Technologist | 4648 Park Milford Pl, San Jose, CA 95136-2521 | 2019-03-05 |
| 1376012948 | Theresa Ortiz | Specialist/Technologist | 796 Amanda Dr, San Jose, CA 95136-1909 | 2018-11-13 |
| 1073091625 | Rachel Ann Vaccaro | Specialist/Technologist | 1539 Hervey Ln, San Jose, CA 95125-1849 | 2018-08-04 |
| 1063909190 | Mayuresh Nandkeolyar | Specialist/Technologist | 5460 Don Diablo Ct, San Jose, CA 95123-3113 | 2018-04-14 |
| 1164929873 | Catherine English | Specialist/Technologist | 850 The Alameda Ste 20, San Jose, CA 95126-3146 | 2018-04-09 |
| 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.