Anthony Nguyen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

34468 Issued in CA

Practice address

210 N El Circulo Ave
Patterson, CA 95363-2521

Phone

(209) 895-4900

NPI assigned

Nov 20, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Specialty

Optometry

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Optometric Care of Northern California PC 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (8 of 9)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• First Optometric Care of Northern California PC

  • Optometrist
  • Rancho Cordova, CA
  • NPI 1154972404

  CA, Optometrist

  Medicare reassignment Care Compare group NPD
• Third Optometric Care of California

  • Optometrist
  • Rancho Cordova, CA
  • NPI 1013516103

  CA, Optometrist

  Medicare reassignment NPD
• Keith David Kajioka, O.D.

  • Optometrist
  • Modesto, CA
  • NPI 1053370825

  CA

  Medicare reassignment
• First Optometric Care of Northern California PC

  • Optometrist
  • Fair Oaks, CA
  • NPI 1295320778
  NPD
• First Optometric Care of Northern California PC

  • Optometrist
  • San Jose, CA
  • NPI 1487537452
  NPD
• Third Optometric Care of California PC

  • Optometrist
  • Palmdale, CA
  • NPI 1215824768
  NPD
• Third Optometric Care of California PC

  • Optometrist
  • Elk Grove, CA
  • NPI 1770161655
  NPD
• First Optometric Care of Northern California PC

  • Optometrist
  • Stockton, CA
  • NPI 1932786407
  NPD (past)
• Third Optometric Care of California

  • Optometrist
  • Elk Grove, CA
  • NPI 1295309623
  NPD (past)

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1114357597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N EL CIRCULO AVE",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953632521",
            "telephone_number": "209-895-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N EL CIRCULO AVE",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953632521",
            "telephone_number": "209-895-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ANTHONY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-20",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8327T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandee Lee Nanney
• Maria Navarro Reyes
• Christine Mutindi Ndetti, NP
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• Joanna Nunez
• Irma Ochoa
• Jason Oliveira
• Carousel Onia, RN
• Mark Timothy Ory, DDS

• All providers in Patterson, CA
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.