Individual provider Active NPI

Trinh Ngoc Huynh, OD

  • Optometrist
  • San Leandro, CA
National Provider Identifier
1124711361
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35445 Issued in CA
Practice address
1919 Davis St
San Leandro, CA 94577-1231
Phone
(510) 430-9903
NPI assigned
Jun 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35445 CA Primary

Addresses

Primary practice location

1919 Davis St
San Leandro, CA 94577-1231

Mailing address

1835 5TH Ave
Oakland, CA 94606-2403
Phone (510) 282-5420

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
I20240321002096 CA Practitioner - Optometry 3870930225 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35445CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Huynh Family Professional Optometry Corp. Optometrist CurrentSince Mar 4, 2024 Accepting new patients

Locations

1919 Davis St
San Leandro, CA 94577
Phone (510) 430-9903

Organizations & group practices 1

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": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1124711361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 5TH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946062403",
            "telephone_number": "510-282-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 DAVIS ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945771231",
            "telephone_number": "510-430-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "TRINH",
        "middle_name": "NGOC",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.