THAO NGUYEN FNP
NPI 1255058624
Nurse Practitioner - Family in Brisbane, CA
About Thao Nguyen Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THAO NGUYEN FNP (NPI 1255058624) is an individual family provider in Brisbane, California, licensed in California (95022386) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Thao Nguyen Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Thao Nguyen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pleasant Hill, CA 94523
- Reassigned Medicare billing, California enrollment
- 12 clinicians in this Medicare group
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 74 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94005 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Thao Nguyen's NPI number?
The NPI number for Thao Nguyen is 1255058624. It was assigned to this individual provider in the NPPES registry on October 25, 2022.
Where is Thao Nguyen located?
Thao Nguyen practices at 453 San Francisco Ave, Brisbane, CA 94005. The listed phone number is (925) 497-0188.
What is Thao Nguyen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Thao Nguyen enrolled in Medicare?
Yes. Thao Nguyen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Thao Nguyen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thao Nguyen reassigns Medicare benefits to 2 organizations: Universal Medical Group (Pleasant Hill, CA) and Mental Health Systems, Inc. (San Jose, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thao Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Thao Nguyen was last updated on October 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Thao Nguyen, FNP · NPI 1255058624
Family physician in Brisbane, California. Individual provider, active in the CMS NPPES registry since October 25, 2022.
## Identity
- **NPI:** 1255058624 (Entity type: Individual)
- **Enumerated:** October 25, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95022386 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 453 SAN FRANCISCO AVE, Brisbane, CA 94005-1325
- **Phone:** (925) 497-0188
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Universal Medical Group (NPI 1285434902, Pleasant Hill, CA); Mental Health Systems, Inc. (NPI 1710536073, San Jose, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** October 25, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1255058624) · Data from the CMS NPPES public registry.