Serene Dawn Ngin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

11844T Issued in CA

Practice address

1807 3Rd Ave
Oakland, CA 94606-1803

Phone

(510) 444-1969

Fax

(510) 444-1981

NPI assigned

Jan 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1073583084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 3RD AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946061803",
            "telephone_number": "510-444-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 3RD AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946061803",
            "telephone_number": "510-444-1969",
            "fax_number": "510-444-1981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3714 MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946191330",
            "country_code": "US",
            "telephone_number": "510-530-2330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGIN",
        "first_name": "SERENE",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2021-07-07",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11844T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Oakland",
            "affiliation": "N",
            "address_1": "1807 3rd Ave",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946061803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Valerie Len NG, MD PHD
• Ying NG
• Dung Ngay
• Hung Huu Nghiem
• Peter Mercado Nghiem, DMD
• Jean Paul Ngiruwera
• Hoan Lien Ngo, D.C.
• Jenny Ngo
• Jenny Bao Ngan Xuan Ngo, PHARMD
• Justine VI-Anh Ngo, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.