1356352975 NPI number — KARL P. NGUYEN, M.D., INC

Table of content: (NPI 1356352975)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356352975 NPI number — KARL P. NGUYEN, M.D., INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KARL P. NGUYEN, M.D., INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SOUTH BAY IMAGING CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1356352975
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 612590
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN JOSE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95161-2590
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
408-923-9283
Provider Business Mailing Address Fax Number:
408-923-9286

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1695 ALUM ROCK AVE STE 3
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN JOSE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95116-2445
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
408-923-9283
Provider Business Practice Location Address Fax Number:
408-923-9286
Provider Enumeration Date:
08/10/2006

Additional Information

Authorized Official

Authorized Official Last Name:
NGUYEN
Authorized Official First Name:
KARL
Authorized Official Middle Name:
PHUC
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
408-923-9283

Provider Taxonomy Codes

  • Taxonomy code: 261QR0200X , with the licence number:  A53253 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00A532530 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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