Physician Compare National (NPI:1245306794)

HEALTHCARE PROVIDER: TRUNG HOAI NGUYEN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1245306794
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3476748773
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101112000070
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NGUYEN
	Individual professional last name
Provider First Name	TRUNG
	Individual professional first name
Provider Middle Name	H
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1975
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	280 N JACKSON AVE D
	Group Practice or individual's line 1 address
City	SAN JOSE
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	951161607
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4082549192
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y