Individual provider Active NPI

Anh-Linh Teresa Nguyen, OD

  • Optometrist
  • Santa Ana, CA
National Provider Identifier
1124016183
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10146T Issued in CA
Practice address
3801 S Harbor Blvd
Ste C
Santa Ana, CA 92704-7901
Phone
(714) 553-1990
Fax
(714) 531-0236
NPI assigned
Oct 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10146T CA Primary

Addresses

Primary practice location

3801 S Harbor Blvd
Ste C
Santa Ana, CA 92704-7901

Mailing address

3801 S Harbor Blvd
Ste C
Santa Ana, CA 92704-7901
Phone (714) 531-9900

Other identifiers 1

IdentifierTypeStateIssuer
SD0101460MedicaidCA

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
I20061003000480 CA Practitioner - Optometry 2567467103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3801 S Harbor Blvd
Suite C
Santa Ana, CA 92704-7901
Phone (714) 531-9900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10146TCAMDOptometrist

Practice roles (1 of 2)

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124016183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 S HARBOR BLVD",
            "address_2": "STE C",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047901",
            "telephone_number": "714-531-9900",
            "fax_number": "714-531-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 S HARBOR BLVD",
            "address_2": "STE C",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047901",
            "telephone_number": "714-553-1990",
            "fax_number": "714-531-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ANH-LINH",
        "middle_name": "TERESA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10146T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0101460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.