PHUONG THAO NGUYEN MD
NPI 1780319442
Family Medicine in San Jose, CA

Active since July 18, 2022PECOS EnrolledAccepts Medicare Assignment
939 STORY RD, SAN JOSE, CA 95122(408) 573-9686 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Phuong Thao Nguyen Md NPPES

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

PHUONG THAO NGUYEN MD (NPI 1780319442) is an individual family medicine provider in San Jose, California, licensed in California (204487) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1780319442
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePHUONG THAO NGUYENCredential: MD
Location Address939 STORY RDSan Jose, CA 95122-2688
Mailing Address13192 Bowen StGarden Grove, CA 92843-1003 · (989) 980-4586
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 18, 2022
Last NPPES UpdateAugust 29, 2025
NPPES CertifiedAugust 29, 2025
NPI 1780319442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · 204487
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
939 STORY RD, San Jose, CA 95122

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Phuong Thao Nguyen Md 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.

PECOS PAC ID6901331867
PECOS Enrollment IDI20251110002805
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 95122 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 5

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

Registered Nurse
939 STORY RD
SAN JOSE, CA 95122
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
939 STORY RD, STE 108
SAN JOSE, CA 95122
Dietitian, Registered
939 STORY RD
SAN JOSE, CA 95122
Registered Nurse
939 STORY RD
SAN JOSE, CA 95122
Dietitian, Registered
939 STORY RD
SAN JOSE, CA 95122

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 Phuong Thao Nguyen's NPI number?

The NPI number for Phuong Thao Nguyen is 1780319442. It was assigned to this individual provider in the NPPES registry on July 18, 2022.

Where is Phuong Thao Nguyen located?

Phuong Thao Nguyen practices at 939 Story Rd, San Jose, CA 95122. The listed phone number is (408) 573-9686.

What is Phuong Thao Nguyen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Phuong Thao Nguyen enrolled in Medicare?

Yes. Phuong 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.

When was this NPI record last updated?

The NPPES record for Phuong Thao Nguyen was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.