DR. MARK MINH NGUYEN (MD) – Physical Medicine & Rehabilitation Physician, NPI 1306812896

DR. MARK MINH NGUYEN (MD) is a healthcare provider. based in San jose, California. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials MD. They hold a License No. 204530 (MA). The NPI Number for DR. MARK MINH NGUYEN (MD) is 1306812896

Main info

Male
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK MINH NGUYEN (MD)
NPI
1306812896
Phone
(408) 885-2100
Address
751 S BASCOM AVE
Enumeration Date
24 February 2006
Last Update Date
11 February 2022

Doctor Profile

Medical School Name
HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
4088511000
Graduation Year
1996 (30 years ago)
PAC ID
2062599236
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20080411000609
Address ID
CA950515173SA710XXWAYX400
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,149 PHYSICAL MEDICINE AND REHABILITATION in CA

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Provider Addresses for DR. MARK MINH NGUYEN (MD)

  • Santa Clara Valley Medical Center, 751, South Bascom Avenue, Buena Vista, San Jose, Santa Clara County, California, 95128, United States

    SANTA CLARA VALLEY MEDICAL CENTER

    SAN JOSE, CA 951282604

    Phone: (408) 885-2100

    Fax: (408) 885-2028

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-04-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080411000609IPhysical Medicine And RehabilitationCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95128)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. MARK MINH NGUYEN (MD)?
DR. MARK MINH NGUYEN (MD) — NPI 1306812896 — is the standard way to identify this listing.
Does CMS list DR. MARK MINH NGUYEN (MD) as active?
Yes — DR. MARK MINH NGUYEN (MD) is active in the NPI listing used on this page.
What healthcare role does DR. MARK MINH NGUYEN (MD) hold?
Scheduling teams often label DR. MARK MINH NGUYEN (MD) under Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
What area does DR. MARK MINH NGUYEN (MD) serve?
DR. MARK MINH NGUYEN (MD)'s listing highlights San Jose, California; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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