Individual provider Active NPI

Thien-Anh Cao, OD

  • Optometrist
  • Garden Grove, CA
National Provider Identifier
1093208985
Registry record updated Jul 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33938TLG Issued in CA
Practice address
9856 Westminster Ave Ste 125
Garden Grove, CA 92844-5143
Phone
(714) 530-0751
NPI assigned
Jun 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33938TLG CA Primary

Addresses

Primary practice location

9856 Westminster Ave Ste 125
Garden Grove, CA 92844-5143

Mailing address

9856 Westminster Ave Ste 125
Garden Grove, CA 92844-5143
Phone (714) 530-0751

Other practice location 1

10872 Westminster Ave Ste 112
Garden Grove, CA 92843-4981
Phone (714) 636-9585

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180723002104 CA Practitioner - Optometry 3870840895 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33938TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thien-Anh Cao, OD, Inc Optometrist Current Accepting new patients
Vanna Hoang OD Inc Optometrist Past Accepting new patients
Iexam Optometry, PC Optometrist PastSince Jul 1, 2018 Accepting new patients
Ngoc-Thuy Trina Nguyen OD a Professional Corporation Optometrist PastSince Sep 17, 2011 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720828800000",
    "number": "1093208985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9856 WESTMINSTER AVE STE 125",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928445143",
            "telephone_number": "714-530-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9856 WESTMINSTER AVE STE 125",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928445143",
            "telephone_number": "714-530-0751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10872 Westminster Ave Ste 112",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928434981",
            "country_code": "US",
            "telephone_number": "714-636-9585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAO",
        "first_name": "THIEN-ANH",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2024-07-13",
        "certification_date": "2024-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33938TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.