MEDICARE: DR. KHOA D NGUYEN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	00A500840	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518982057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KHOA D NGUYEN M.D.

Provider Business Mailing Address
First Line	:	2100 FOREST AVE
Second Line	:	SUITE 105
City	:	SAN JOSE
State	:	CA
Zip	:	95128-1422
Country	:	US
Telephone Number	:	408-993-8071
Fax Number	:	408-993-8609

Provider Business Practice Location Address
First Line	:	2100 FOREST AVE
Second Line	:	SUITE 105
City	:	SAN JOSE
State	:	CA
Zip	:	95128-1422
Country	:	US
Telephone Number	:	408-993-8071
Fax Number	:	408-993-8609

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	09/28/2007

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1194712109 — EXECUTIVE ENDOSCOPY, INC
Practice Location Address:

2100 FOREST AVE , 109
SAN JOSE, CA
95128-1422

Practice Phone: 408-297-2314
Practice Fax: 408-297-2414

1487644779 — DR. STEVEN A NEMIROV
Practice Location Address:

2100 FOREST AVE , SUITE 108
SAN JOSE, CA
95128-1422

Practice Phone: 408-297-7909
Practice Fax: 408-297-7913

1295700995 — PATRICK GARTLAND M.D.
Practice Location Address:

2100 FOREST AVENUE , SUITE 103
SAN JOSE, CA
95128-1422

Practice Phone: 408-275-8500
Practice Fax: 408-275-8502

1609822469 — ALPHONSUS LAPMAN CHEUNG MD
Practice Location Address:

2100 FOREST AVE
SAN JOSE, CA
95128-1422

Practice Phone: 408-297-3432
Practice Fax:

1548206113 — DR. DAN-ANH THI NGUYEN M.D.
Practice Location Address:

2100 FOREST AVE , STE 105
SAN JOSE, CA
95128-1422

Practice Phone: 408-993-8071
Practice Fax:

Directions to “ DR. KHOA D NGUYEN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.