MS. TRI NGOC DAM NURSE PRACTITIONER
NPI 1649864604
Nurse Practitioner - Family in San Jose, CA

Q: What is Tri Dam's NPI number?

The NPI number for Tri Dam is 1649864604. It was assigned to this individual provider in the NPPES registry on February 21, 2021.

Q: What is Tri Dam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tri Dam was last updated on February 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since February 21, 2021PECOS Enrolled

87 N 6TH ST, SAN JOSE, CA 95112(408) 279-1180(408) 279-6745 Get Directions Write a Review

NPPES record last updated: February 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Tri Ngoc Dam Nurse Practitioner NPPES

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

MS. TRI NGOC DAM NURSE PRACTITIONER (NPI 1649864604) is an individual family provider in San Jose, California, licensed in California (95006901) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649864604

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. TRI NGOC DAMCredential: NURSE PRACTITIONER

Location Address87 N 6TH STSan Jose, CA 95112-5423

Mailing Address20449 Times AveHayward, CA 94541-3745 · (510) 304-4810

Phone(408) 279-1180

Fax(408) 279-6745

Sole ProprietorNo

Enumeration DateFebruary 21, 2021

NPPES CertifiedDecember 16, 2020

✔ NPI 1649864604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95006901

87 N 6TH ST, San Jose, CA 95112

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Tri Ngoc Dam Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. RICK MINH-LUAN TO M.D.

Family Medicine

87 N 6TH ST
SAN JOSE, CA 95112

Santa Clara County (408) 279-1180

AN NGOC TO MD INC

Family Medicine

87 N 6TH ST
SAN JOSE, CA 95112

Santa Clara County (408) 279-1180

DR. AN NGOC TO M.D.

Family Medicine

87 N 6TH ST
SAN JOSE, CA 95112

Santa Clara County (408) 279-1180

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 Tri Dam's NPI number?

The NPI number for Tri Dam is 1649864604. It was assigned to this individual provider in the NPPES registry on February 21, 2021.

Where is Tri Dam located?

Tri Dam practices at 87 N 6th St, San Jose, CA 95112. The listed phone number is (408) 279-1180.

What is Tri Dam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tri Dam enrolled in Medicare?

Yes. Tri Dam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tri Dam was last updated on February 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.