| Bay Area Hospital Physician | |
|
200 Jose Figueres Ave Ste 180 San Jose CA 95116 | |
| (408) 258-5083 | |
| (408) 258-4347 |
| Full Name | Bay Area Hospital Physician |
|---|---|
| Speciality | Internal Medicine |
| Location | 200 Jose Figueres Ave Ste 180, San Jose, California |
| Authorized Official Name and Position | Tam Hoang Nguyen (PRESIDENT/CEO) |
| Authorized Official Contact | 4082585083 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Hospital Physician 4945 Palemetto Dunes Ct San Jose CA 95138-2131 Ph: (408) 772-7970 | Bay Area Hospital Physician 200 Jose Figueres Ave Ste 180 San Jose CA 95116 Ph: (408) 258-5083 |
| NPI Number | 1043476393 |
|---|---|
| Provider Enumeration Date | 08/05/2008 |
| Last Update Date | 06/05/2018 |
| Medicare PECOS PAC ID | 1456429828 |
|---|---|
| Medicare Enrollment ID | O20081013000248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043476393 | NPI | - | NPPES |
| 20A9636 | Other | CA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20A9636 (California) | Primary |
| Provider Name | Tam H Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962520478 PECOS PAC ID: 7315048006 Enrollment ID: I20070725000300 |
| Provider Name | Aparna Mukkamala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164643953 PECOS PAC ID: 3577658269 Enrollment ID: I20070926000515 |
| Provider Name | Kristen P Tamura |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356502553 PECOS PAC ID: 4385816800 Enrollment ID: I20111005000615 |
| Provider Name | Ha Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407410400 PECOS PAC ID: 8123352028 Enrollment ID: I20190626003185 |
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