Vincent Q. Nguyen, M.D., Inc.

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

Legal business name

VINCENT Q. NGUYEN, M.D., INC.

Practice address

7695 Cardinal CT Ste 100
San Diego, CA 92123-3357

Phone

(858) 609-7100

Fax

(858) 609-7106

NPI assigned

Mar 28, 2006

Organization subpart

No

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

Authorized official

Name

Sarah Vosough

Title

Practice Administrator

Phone

(858) 609-7108

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• San Diego Retina Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Interoperability endpoints

• Direct secure messaging: frobinson@sdretina.intellechartdirect.net
• Direct secure messaging: msmith@sdretina.intellechartdirect.net

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley Jacobsen, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • San Diego, CA
  • NPI 1760845184
  Medicare reassignment Care Compare group NPD
• Rusdeep Singh Mundae, MD

  • Ophthalmology Physician
  • Chula Vista, CA
  • NPI 1811488687
  Medicare reassignment Care Compare group NPD
• Vincent Quocviet Nguyen, M.D., M.B.A

  • Retina Specialist (Ophthalmology) Physician
  • San Diego, CA
  • NPI 1972846822
  Medicare reassignment Care Compare group NPD
• Michael S. Ibarra, MD

  • Ophthalmology Physician
  • Honolulu, HI
  • NPI 1871652941
  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1124089586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7695 CARDINAL CT",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921233357",
            "telephone_number": "858-609-7100",
            "fax_number": "858-609-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7695 CARDINAL CT STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921233357",
            "telephone_number": "858-609-7100",
            "fax_number": "858-609-7106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3231 Waring Ct Ste S",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920564510",
            "country_code": "US",
            "telephone_number": "760-631-6144",
            "fax_number": "760-729-3420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VINCENT Q. NGUYEN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "VOSOUGH",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "858-609-7108"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0091470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Diego Retina Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "San Diego Retina Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edwin Valdez Vinarao
• Michael Vince, D.O.
• Amalia Vincelette, DOCTOR OF AUDIOLOGY
• Chris Vinceneux, OTR
• Vincent Huy Nguyen, DDS, Inc
• Berline Vincent
• Britney Vincent
• Chandra Vincent
• Suzanne Knubel Vincent, NP
• Vanessa Claire Vincent, MS, SLP

• Retina Specialist (Ophthalmology) Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Retina Specialist (Ophthalmology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.