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DR. BAO QUANG NGUYEN PHUC DC
NPI 1437774049
Chiropractor in Redwood City, CA

Active since June 09, 2020
536 EL CAMINO REAL, REDWOOD CITY, CA 94063(650) 995-7243(650) 995-7595 Get Directions Write a Review

NPPES record last updated: June 9, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Bao Quang Nguyen Phuc Dc NPPES

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

DR. BAO QUANG NGUYEN PHUC DC (NPI 1437774049) is an individual chiropractor in Redwood City, California, licensed in California (34789) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1437774049
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. BAO QUANG NGUYEN PHUCCredential: DC
Location Address536 EL CAMINO REALRedwood City, CA 94063-1212
Mailing Address3363 Da Vinci CtSan Jose, CA 95148-4318 · (408) 421-0701
Phone(650) 995-7243
Fax(650) 995-7595
Sole ProprietorNo
Enumeration DateJune 9, 2020
NPPES CertifiedJune 9, 2020
✔ NPI 1437774049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · 34789
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
536 EL CAMINO REAL, Redwood City, CA 94063
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bao Quang Nguyen Phuc Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Bao Quang Nguyen Phuc reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brass Chiropractic Incorporated
15 mi
Chiropractor
21730 STEVENS CREEK BLVD STE 102
Cupertino, CA 95014
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1285366476 (408) 255-2592

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

MRS. KATELYN CRESTA DC
Chiropractor
536 EL CAMINO REAL
REDWOOD CITY, CA 94063
San Mateo County (650) 853-1800
RANDALL TOAL D.C.
Chiropractor
536 EL CAMINO REAL
REDWOOD CITY, CA 94063
San Mateo County (650) 853-1800
MOBILIZE SPORTS CHIROPRACTIC AND MANUAL THERAPY, INC.
Chiropractor (Sports Physician)
536 EL CAMINO REAL
REDWOOD CITY, CA 94063
San Mateo County (650) 995-7243

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 Bao Quang Nguyen Phuc's NPI number?

The NPI number for Bao Quang Nguyen Phuc is 1437774049. It was assigned to this individual provider in the NPPES registry on June 9, 2020.

Where is Bao Quang Nguyen Phuc located?

Bao Quang Nguyen Phuc practices at 536 El Camino Real, Redwood City, CA 94063. The listed phone number is (650) 995-7243.

What is Bao Quang Nguyen Phuc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Bao Quang Nguyen Phuc enrolled in Medicare?

Yes. Bao Quang Nguyen Phuc is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bao Quang Nguyen Phuc's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bao Quang Nguyen Phuc reassigns Medicare benefits to Brass Chiropractic Incorporated (Cupertino, CA). The 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 Bao Quang Nguyen Phuc'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 Bao Quang Nguyen Phuc was last updated on June 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.