Samantha Thao-Nguyen DO

Primary specialty

OptometristTaxonomy code 152W00000X

License

34298TLG Issued in CA

Practice address

16498 Beach Blvd
Westminster, CA 92683-7860

Phone

(714) 552-2256

NPI assigned

Jul 7, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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

• Marshall B. Ketchum University

  • Optometrist
  • Anaheim, CA
  • NPI 1720101876
  Medicare reassignment NPD
• Marshall B. Ketchum University

  • Multi-Specialty Clinic/Center
  • Anaheim, CA
  • NPI 1174037493
  NPD
• Marshall B. Ketchum University/University Eye Center at Los Angeles

  • Optometrist
  • Los Angeles, CA
  • NPI 1558467225
  NPD

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

{
    "created_epoch": "1562457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1043872393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16498 BEACH BLVD",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837860",
            "telephone_number": "714-848-3937",
            "fax_number": "714-842-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16498 BEACH BLVD",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837860",
            "telephone_number": "714-552-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "SAMANTHA",
        "middle_name": "THAO-NGUYEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-07",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34298TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica DO, DDS
• Loc Chanh DO
• Mai DO
• Muu N DO, DDS
• Nathan Hoang DO
• Susan DO, O.D.
• Thinh Duc DO, OD
• Tien Thi Kim DO
• Doan Hearing Aid Center, Inc.
• Bong Doan, M.D.

• Optometrist in Westminster, CA
• Providers in Westminster, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.