BAY AREA HOSPITAL PHYSICIAN - NPI 1043476393 - Internal Medicine in San Jose, CA

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207R00000X.

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About Bay Area Hospital Physician NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAY AREA HOSPITAL PHYSICIAN (NPI 1043476393) is a healthcare organization registered as an internal medicine in San Jose, California and active in the NPI registry since August 2008. The organization maintains 2 additional practice locations and lists Tam Hoang Nguyen, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1043476393

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameBAY AREA HOSPITAL PHYSICIAN

Location Address200 JOSE FIGUERES AVE STE 180San Jose, CA 95116

Mailing Address4945 Palemetto Dunes CtSan Jose, CA 95138-2131 · (408) 772-7970

Phone(408) 258-5083

Fax(408) 258-4347

Organization SubpartNo

Authorized OfficialTam Hoang NguyenPresident/ceo · (408) 258-5083

Enumeration DateAugust 5, 2008

Last NPPES UpdateJune 5, 2018

✔ NPI 1043476393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · 20A9636

Definition

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.

200 JOSE FIGUERES AVE STE 180, San Jose, CA 95116

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Secondary Practice Locations 2

Location 1920 Sunnyslope RdHollister, CA 95023-5784 · Phone (408) 258-5083 · Fax (408) 258-4347

Location 218181 Butterfield Blvd Ste 180Morgan Hill, CA 95037-8112 · Phone (408) 258-5083 · Fax (408) 258-4347

Other Identifiers 1

Other20A9636CA · License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0695490

Bay Area Community Health - Monterey Clinic · San Jose, CA

Active · expires May 21, 2027

CLIA Number05D0695490

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateMay 22, 2025

Certificate Expiration DateMay 21, 2027

Laboratory DirectorVictor M. Salazar Castillo

Laboratory Phone(510) 252-5876

Laboratory LocationBay Area Community Health - Monterey Clinic5504 Monterey Hwy, San Jose, CA 95138

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TAM HOANG NGUYEN D.O.

Internal Medicine