Yen Kim Nguyen Ha, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14257 Issued in CA

Practice address

3668 Motor Ave
#310
Los Angeles, CA 90034-5759

Phone

(626) 731-2425

NPI assigned

Nov 2, 2011

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

Other names 1

• Yen Kim Nguyen Former name

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

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.

• Seek Vision Optometry

  • Optometrist
  • Monterey Park, CA
  • NPI 1578930327
  Medicare reassignment NPD
• Dan Rod Optometric Center Inc

  • Optometrist
  • Los Angeles, CA
  • NPI 1346020351
  NPD (past)

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1104102201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 MAYCREST AVE",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910304208",
            "telephone_number": "626-731-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3668 MOTOR AVE",
            "address_2": "#310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900345759",
            "telephone_number": "626-731-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HA",
        "first_name": "YEN",
        "middle_name": "KIM NGUYEN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-02",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YEN",
            "last_name": "NGUYEN",
            "middle_name": "KIM",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Ha
• Trang Ha, OD
• Vincent Ha, DDS
• William Ha, PHARM.D
• Woongchul Ha, D.D.S
• Irina Marie Haack, PMHNP
• Benjamin Haag
• Catalina Saldarriaga Haaga
• David A. Haake, M.D.
• Beverly Jean Haas, PH.D.

• Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.