Individual provider Active NPI

Brenda Nuyen

  • Ophthalmology Physician
  • Santa Monica, CA
National Provider Identifier
1023351582
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A134069 Issued in CA
Practice address
1908 Santa Monica Blvd
Ste 3
Santa Monica, CA 90404-1927
Phone
(310) 829-5475
NPI assigned
Apr 3, 2013
Last updated
Feb 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A134069 CA Primary

Addresses

Primary practice location

1908 Santa Monica Blvd
Ste 3
Santa Monica, CA 90404-1927

Mailing address

1908 Santa Monica Blvd
Ste 3
Santa Monica, CA 90404-1927
Phone (310) 829-5475

Other practice location 1

511 E Garvey Ave Ste 201
Monterey Park, CA 91755-1974
Phone (626) 382-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170706001589 CA Practitioner - Ophthalmology 9234422270 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, San Diego School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Eye Medical Center IncGroup PAC ID 2567351000, 2 clinicians

Practice addresses (Care Compare)

1125 S Beverly Dr
Suite 710
Los Angeles, CA 90035-1180
Phone (310) 275-6179

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A134069CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Linda Vu MD, a Medical Corp Ophthalmology CurrentSince Jul 15, 2017 Accepting new patients
Linda Vu MD, a Medical Corp CurrentSince Jul 15, 2017 Accepting new patients
California Eye Medical Center Inc Ophthalmology CurrentSince Feb 1, 2025 Accepting new patients
Mercy Eye Care Medical Group Inc Ophthalmology Past Accepting new patients

Locations

1125 S Beverly Dr
Ste 710
Los Angeles, CA 90035
Phone (310) 275-1676

511 E Garvey Ave
Ste 201
Monterey Park, CA 91755
Phone (626) 382-2020

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/Freedom_MEC

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1023351582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 SANTA MONICA BLVD",
            "address_2": "STE 3",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041927",
            "telephone_number": "310-829-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 SANTA MONICA BLVD",
            "address_2": "STE 3",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041927",
            "telephone_number": "310-829-5475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 E Garvey Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Monterey Park",
            "state": "CA",
            "postal_code": "917551974",
            "country_code": "US",
            "telephone_number": "626-382-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUYEN",
        "first_name": "BRENDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A134069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.