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Philip An Nguyen, PA

Physician Assistant · San Jose

NPI 1669182986

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
2

Offices

2 locations · El Camino Health Medical Network LLC · 202 clinicians in this group

Looking this up.

Hospitals listed: El Camino Health. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Philip An Nguyen’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence G61857 · Current

Licensed to practise in California · since 1987 · expires 2027-10-31 · University of California San Francisco School of Medicine.

Matched on the licence number without its letter prefix; check the name before relying on it.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • El Camino HealthMountain View, CAAcute Care Hospital · Government - Hospital District or Authority · Has an emergency department · Birthing-friendlyPart of El Camino Health, which runs 2 hospitalsPatients rate it 4 of 5 · 80% would definitely recommend it
    Overall rating: 4 of 5 starsBetter than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.291, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.393, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0, Oct 2024 – Sep 2025
See every measure and the patient survey for El Camino Health

Behind the star rating — Deaths: 3 better, 5 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 1 better, 9 the same, 1 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at El Camino Health
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.291BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.393BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.96 (0.12 to 1.79) · 2,340 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.02 (0.76 to 1.28)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths167.38 (125.03 to 209.73) · 96 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.6 · 68 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.1 · 185 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.8 · 200 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.9 · 814 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths13 · 842 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.6 · 361 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.6 · 4,633 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.16 (0 to 0.34) · 11,474 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.27 (0.1 to 0.45) · 11,626 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.14 (1.39 to 4.9) · 2,814 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths2 (0.61 to 3.39) · 1,327 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.8 to 3.43) · 2,641 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths9.39 (4.18 to 14.6) · 1,287 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths6.57 (3.47 to 9.68) · 1,308 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths2.14 (0.71 to 3.57) · 827 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.6 (0.05 to 1.15) · 9,460 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.5 · 122 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.993No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.706No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.376No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.5 · 218 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19.5 · 962 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits3.8 · 200 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-17 · 922 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits18.6 · 860 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.7 · 827 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits6.1 (4.5 to 8.2) · 313 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits13.4 (10.6 to 16.5) · 313 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits6.1 · 144 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.3 · 80 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.7 · 237 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.8 (10 to 16.1) · 1,639 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.8 to 1.1) · 1,619 casesNo differentJan 2024 – Dec 2024

What patients said (1,535 patients answered, 22% of those asked)

Patient survey stars by topic at El Camino Health
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information3
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at El Camino Health
Room was "always" clean75%
Nurses "always" communicated well79%
Doctors "always" communicated well81%
Staff "always" explained61%
Yes, staff "did" give patients this information86%
Yes, staff "did" give patients information about help after discharge86%
Doctors "always" explained things so they could understand76%
Doctors "always" listened carefully80%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)76%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand75%
Nurses "always" listened carefully76%
Nurses "always" treated them with courtesy and respect87%
"Always" quiet at night47%
"YES", patients would definitely recommend the hospital80%
Staff "always" explained possible side effects46%
Yes, staff "did" give patients information about possible symptoms86%

Original Medicare doctor bills

$4,510

Medicare paid this office $4,510 for 79 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Return visit (30+ min)29$3,264$96
Urinalysis, manual test63$242$3

Who their Medicare patients are

79 Original Medicare patients in 2024. Average age 76 · Women 14% · Also on Medicaid 0% · Health risk score 1.02. At or below the middle of the specialty; the typical physician assistant clinician is at 1.31.

Conditions among them: High blood pressure 75% · Coronary heart disease 47% · Chronic kidney disease 35% · Cancer 33% · Diabetes 32% · Atrial fibrillation 20% · Stroke 14%.

The office billed $24,254, Medicare allowed $5,853 and paid $4,510; for 132 services of 7 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Drugs they prescribed that Part D paid

$44,588

Pharmacies billed $44,588 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 5% of their Part D prescriptions (25 of 506) in 2024. Above the middle of the specialty; the typical physician assistant clinician is at 1%.

460 generic and fewer than 11 brand-name prescriptions · $44,588 in drug cost · 224 antibiotic prescriptions to 139 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Mounjaro12$16,001$1,333
Tamsulosin106$1,441$14
Silodosin12$1,140$95
Nitrofurantoin Mono-Macro13$680$52
Ciprofloxacin132$582$4
See all 9 drugs
Every Part D drug this clinician prescribed
Mounjaro12$16,001$1,333
Tamsulosin106$1,441$14
Silodosin12$1,140$95
Nitrofurantoin Mono-Macro13$680$52
Ciprofloxacin132$582$4
Hydrocodone-Acetaminophen20$142$7
Cephalexin22$114$5
Amoxicillin-Clavulanate Potass12$112$9
Sulfamethoxazole-Trimethoprim33$88$3

Money from drug and device companies

$2,183 in 2025

Industry payments by year
20251878None$2,183
20241124None$744
20231019None$586
202211None$12

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Sumitomo Pharma AmericaGemtesa$1,119
35 payments
  • Meals for Gemtesa · 2025-12-22 · $8
  • Meals for Gemtesa · 2025-12-19 · $32
  • Meals for Gemtesa · 2025-12-12 · $40
  • Meals for Gemtesa · 2025-12-03 · $38
  • Meals for Gemtesa · 2025-11-21 · $40
  • Meals for Gemtesa · 2025-11-11 · $22
  • Meals for Gemtesa · 2025-11-02 · $45
  • Meals for Gemtesa · 2025-10-24 · $38
  • Meals for Gemtesa · 2025-10-09 · $36
  • Meals for Gemtesa · 2025-09-25 · $123
  • Meals for Gemtesa · 2025-09-25 · $40
  • Meals for Gemtesa · 2025-09-11 · $13
  • Meals for Gemtesa · 2025-09-05 · $38
  • Meals for Gemtesa · 2025-08-13 · $38
  • Meals for Gemtesa · 2025-07-31 · $35
  • Meals for Gemtesa · 2025-07-22 · $14
  • Meals for Gemtesa · 2025-06-29 · $10
  • Meals for Gemtesa · 2025-06-19 · $35
  • Meals for Gemtesa · 2025-06-09 · $16
  • Meals for Gemtesa · 2025-05-28 · $39
  • Meals for Gemtesa · 2025-05-16 · $17
  • Meals for Gemtesa · 2025-05-09 · $31
  • Meals for Gemtesa · 2025-05-02 · $41
  • Meals for Gemtesa · 2025-04-25 · $41
  • Meals for Gemtesa · 2025-03-26 · $26
  • Meals for Gemtesa · 2025-03-19 · $42
  • Meals for Gemtesa · 2025-03-12 · $40
  • Education for Gemtesa · 2025-02-28 · $5
  • Meals for Gemtesa · 2025-02-27 · $26
  • Meals for Gemtesa · 2025-02-14 · $36
  • Meals for Gemtesa · 2025-02-06 · $23
  • Meals for Gemtesa · 2025-02-06 · $18
  • Meals for Gemtesa · 2025-01-29 · $28
  • Meals for Gemtesa · 2025-01-14 · $9
  • Meals for Gemtesa · 2025-01-09 · $37
Janssen BiotechErleada$200
6 payments
  • Meals for Erleada · 2025-10-28 · $31
  • Meals for Erleada · 2025-09-24 · $34
  • Meals for Erleada · 2025-05-08 · $13
  • Meals for Erleada · 2025-05-07 · $28
  • Meals for Rybrevant · 2025-04-26 · $69
  • Meals for Erleada · 2025-03-18 · $25
AbbvieBotox$131
5 payments
  • Meals for Botox · 2025-12-09 · $26
  • Meals for Botox · 2025-08-06 · $32
  • Meals for Botox · 2025-05-21 · $25
  • Meals for Botox · 2025-04-18 · $24
  • Meals for Botox · 2025-03-24 · $23
Novartis PharmaceuticalsPluvicto$105
4 payments
  • Meals for Pluvicto · 2025-10-16 · $19
  • Meals for Pluvicto · 2025-08-14 · $19
  • Meals for Pluvicto · 2025-06-05 · $32
  • Meals for Pluvicto · 2025-04-22 · $34
Verity PharmaceuticalsTlando$99
5 payments
  • Meals for Tlando · 2025-11-17 · $18
  • Meals for Tlando · 2025-10-07 · $24
  • Meals for Tlando · 2025-09-09 · $16
  • Meals for Tlando · 2025-08-13 · $23
  • Meals for Tlando · 2025-07-21 · $18
Accord HealthcareCamcevi$90
4 payments
  • Meals for Camcevi · 2025-11-10 · $16
  • Meals for Camcevi · 2025-10-01 · $24
  • Meals for Camcevi · 2025-07-17 · $26
  • Meals for Camcevi · 2025-04-03 · $24
See all 78 published payments
Every published payment
TeleflexMeals · 2025-12-30Urolift$25
Sumitomo Pharma AmericaMeals · 2025-12-22Gemtesa$8
Sumitomo Pharma AmericaMeals · 2025-12-19Gemtesa$32
Sumitomo Pharma AmericaMeals · 2025-12-12Gemtesa$40
AbbvieMeals · 2025-12-09Botox$26
Sumitomo Pharma AmericaMeals · 2025-12-03Gemtesa$38
AstraZeneca Pharmaceuticals LPMeals · 2025-11-24None$29
Procept BioroboticsMeals · 2025-11-24Aquabeam Robotic System$15
Sumitomo Pharma AmericaMeals · 2025-11-21Gemtesa$40
Verity PharmaceuticalsMeals · 2025-11-17Tlando$18
Sumitomo Pharma AmericaMeals · 2025-11-11Gemtesa$22
Accord HealthcareMeals · 2025-11-10Camcevi$16
180 MedicalMeals · 2025-11-05None$22
Sumitomo Pharma AmericaMeals · 2025-11-02Gemtesa$45
Janssen BiotechMeals · 2025-10-28Erleada$31
Sumitomo Pharma AmericaMeals · 2025-10-24Gemtesa$38
Novartis PharmaceuticalsMeals · 2025-10-16Pluvicto$19
AstraZeneca Pharmaceuticals LPMeals · 2025-10-13None$25
Sumitomo Pharma AmericaMeals · 2025-10-09Gemtesa$36
Verity PharmaceuticalsMeals · 2025-10-07Tlando$24
Accord HealthcareMeals · 2025-10-01Camcevi$24
Sumitomo Pharma AmericaMeals · 2025-09-25Gemtesa$123
Sumitomo Pharma AmericaMeals · 2025-09-25Gemtesa$40
Janssen BiotechMeals · 2025-09-24Erleada$34
AstraZeneca Pharmaceuticals LPMeals · 2025-09-16None$28
Sumitomo Pharma AmericaMeals · 2025-09-11Gemtesa$13
Verity PharmaceuticalsMeals · 2025-09-09Tlando$16
Sumitomo Pharma AmericaMeals · 2025-09-05Gemtesa$38
Bayer Healthcare PharmaceuticalsMeals · 2025-09-02Nubeqa$22
Progenics PharmaceuticalsMeals · 2025-08-26Pylarify$26
Novartis PharmaceuticalsMeals · 2025-08-14Pluvicto$19
Sumitomo Pharma AmericaMeals · 2025-08-13Gemtesa$38
Verity PharmaceuticalsMeals · 2025-08-13Tlando$23
Astellas Pharma USMeals · 2025-08-12Xtandi$25
AbbvieMeals · 2025-08-06Botox$32
Sumitomo Pharma AmericaMeals · 2025-07-31Gemtesa$35
Sumitomo Pharma AmericaMeals · 2025-07-22Gemtesa$14
Verity PharmaceuticalsMeals · 2025-07-21Tlando$18
Accord HealthcareMeals · 2025-07-17Camcevi$26
Progenics PharmaceuticalsMeals · 2025-07-09Pylarify$21
Sumitomo Pharma AmericaMeals · 2025-06-29Gemtesa$10
Sumitomo Pharma AmericaMeals · 2025-06-19Gemtesa$35
Sumitomo Pharma AmericaMeals · 2025-06-09Gemtesa$16
Endo USAMeals · 2025-06-08Xiaflex$29
Novartis PharmaceuticalsMeals · 2025-06-05Pluvicto$32
Sumitomo Pharma AmericaMeals · 2025-05-28Gemtesa$39
AbbvieMeals · 2025-05-21Botox$25
Sumitomo Pharma AmericaMeals · 2025-05-16Gemtesa$17
PfizerMeals · 2025-05-13Xtandi$22
Agiliti SurgicalMeals · 2025-05-13Sonablate Hifu$22
Sumitomo Pharma AmericaMeals · 2025-05-09Gemtesa$31
Janssen BiotechMeals · 2025-05-08Erleada$13
Janssen BiotechMeals · 2025-05-07Erleada$28
Sumitomo Pharma AmericaMeals · 2025-05-02Gemtesa$41
Janssen BiotechMeals · 2025-04-26Rybrevant$69
Sumitomo Pharma AmericaMeals · 2025-04-25Gemtesa$41
Novartis PharmaceuticalsMeals · 2025-04-22Pluvicto$34
AbbvieMeals · 2025-04-18Botox$24
Lantheus Medical ImagingMeals · 2025-04-14None$15
Accord HealthcareMeals · 2025-04-03Camcevi$24
Astellas Pharma USMeals · 2025-03-31Xtandi$21
Sumitomo Pharma AmericaMeals · 2025-03-26Gemtesa$26
AbbvieMeals · 2025-03-24Botox$23
Bayer Healthcare PharmaceuticalsMeals · 2025-03-24Nubeqa$27
Sumitomo Pharma AmericaMeals · 2025-03-19Gemtesa$42
Janssen BiotechMeals · 2025-03-18Erleada$25
Telix PharmaceuticalsMeals · 2025-03-14Illuccix$26
Sumitomo Pharma AmericaMeals · 2025-03-12Gemtesa$40
Telix PharmaceuticalsMeals · 2025-03-02Illuccix$20
Sumitomo Pharma AmericaEducation · 2025-02-28Gemtesa$5
Sumitomo Pharma AmericaMeals · 2025-02-27Gemtesa$26
Sumitomo Pharma AmericaMeals · 2025-02-14Gemtesa$36
Astellas Pharma USMeals · 2025-02-11Xtandi$20
Sumitomo Pharma AmericaMeals · 2025-02-06Gemtesa$23
Sumitomo Pharma AmericaMeals · 2025-02-06Gemtesa$18
Sumitomo Pharma AmericaMeals · 2025-01-29Gemtesa$28
Sumitomo Pharma AmericaMeals · 2025-01-14Gemtesa$9
Sumitomo Pharma AmericaMeals · 2025-01-09Gemtesa$37
See earlier years (2024, 2023, 2022)

2024: $744

Payments by company in 2024
Sumitomo Pharma AmericaGemtesa$280
9 payments
  • Meals for Gemtesa · 2024-12-20 · $14
  • Meals for Gemtesa · 2024-12-09 · $43
  • Meals for Gemtesa · 2024-11-15 · $29
  • Meals for Orgovyx · 2024-11-12 · $17
  • Meals for Gemtesa · 2024-10-29 · $11
  • Meals for Gemtesa · 2024-09-20 · $45
  • Meals for Gemtesa · 2024-08-25 · $44
  • Meals for Gemtesa · 2024-07-08 · $40
  • Meals for Gemtesa · 2024-05-29 · $38
Blue Earth DiagnosticsPosluma$99
3 payments
  • Meals for Posluma · 2024-08-29 · $30
  • Meals for Posluma · 2024-08-13 · $34
  • Meals for Posluma · 2024-07-30 · $35
Astellas Pharma USNone$89
1 payment
  • Education · 2024-05-23 · $89
Janssen BiotechErleada$86
4 payments
  • Meals for Erleada · 2024-11-11 · $16
  • Meals for Erleada · 2024-08-19 · $24
  • Meals for Erleada · 2024-05-27 · $30
  • Meals for Erleada · 2024-01-29 · $17
Dendreon PharmaceuticalsProvenge$32
1 payment
  • Meals for Provenge · 2024-01-11 · $32
ConvaTecGentlecath$32
1 payment
  • Meals for Gentlecath · 2024-10-21 · $32
ImmunitybioAnktiva$32
1 payment
  • Meals for Anktiva · 2024-08-01 · $32
Olympus AmericaItind System$30
1 payment
  • Meals for Itind System · 2024-08-20 · $30
Endo USAXiaflex$24
1 payment
  • Meals for Xiaflex · 2024-10-03 · $24
Novartis PharmaceuticalsPluvicto$20
1 payment
  • Meals for Pluvicto · 2024-11-12 · $20
Bayer Healthcare PharmaceuticalsNubeqa$19
1 payment
  • Meals for Nubeqa · 2024-01-30 · $19

2023: $586

Payments by company in 2023
Sumitomo Pharma AmericaGemtesa$139
4 payments
  • Meals for Gemtesa · 2023-11-16 · $38
  • Meals for Gemtesa · 2023-10-16 · $33
  • Meals for Gemtesa · 2023-06-05 · $33
  • Meals for Gemtesa · 2023-03-28 · $35
Agiliti SurgicalSonablate$99
1 payment
  • Meals for Sonablate · 2023-02-15 · $99
Janssen BiotechErleada$87
3 payments
  • Meals for Erleada · 2023-10-10 · $23
  • Meals for Erleada · 2023-04-18 · $27
  • Meals for Erleada · 2023-01-24 · $37
Endo PharmaceuticalsXiaflex$63
3 payments
  • Meals for Aveed · 2023-12-13 · $25
  • Meals for Xiaflex · 2023-09-22 · $17
  • Meals for Xiaflex · 2023-01-10 · $20
Dendreon PharmaceuticalsProvenge$48
2 payments
  • Meals for Provenge · 2023-12-07 · $14
  • Meals for Provenge · 2023-11-28 · $34
TolmarJatenzo$41
2 payments
  • Meals for Eligard · 2023-09-06 · $13
  • Meals for Jatenzo · 2023-06-08 · $28
Ethicon USVistaseal$38
1 payment
  • Meals for Vistaseal · 2023-12-06 · $38
Myriad Genetic LaboratoriesProlaris$31
1 payment
  • Meals for Prolaris · 2023-10-24 · $31
Bayer Healthcare PharmaceuticalsNubeqa$21
1 payment
  • Meals for Nubeqa · 2023-08-29 · $21
Progenics PharmaceuticalsPylarify$20
1 payment
  • Meals for Pylarify · 2023-11-14 · $20

2022: $12

Payments by company in 2022
Antares PharmaNocdurna$12
1 payment
  • Meals for Nocdurna · 2022-12-15 · $12

Professional record

NPI
1669182986
Licence
CA 61857California G61857: Current · expires 2027-10-31
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Urology (208800000X)
Mailing address
2633 Sherlock Dr, San Jose, CA, 95121
NPI first listed
2022-11-28
NPI last updated
2022-11-28
NPI record certified
2022-11-28

This is when the NPI record was last certified, not a medical board exam.