Individual provider Active NPI

Elena Y Nguyen, MD

  • Ophthalmology Physician
  • Foster City, CA
National Provider Identifier
1235592387
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A173649 Issued in CA
Practice address
1241 E Hillsdale Blvd Ste 220
Foster City, CA 94404-1296
Phone
(650) 288-1633
Fax
(650) 288-6933
NPI assigned
Apr 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A173649 CA Primary

Addresses

Primary practice location

1241 E Hillsdale Blvd Ste 220
Foster City, CA 94404-1296

Mailing address

1241 E Hillsdale Blvd Ste 220
Foster City, CA 94404-1296
Phone (650) 288-1633

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210820002260 CA Practitioner - Ophthalmology 6002106234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
West Virginia University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Clara Ophthalmology IncorporatedGroup PAC ID 8123212750, 3 clinicians

Practice addresses (Care Compare)

1241 E Hillsdale Blvd
Suite 220
Foster City, CA 94404-1296
Phone (650) 288-1633

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A173649CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Clara Ophthalmology Incorporated Ophthalmology CurrentSince Nov 11, 2022 Accepting new patients
Sutter Bay Medical Foundation Past Accepting new patients
Lucile Salter Packard Children's Hospital at Stanford Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

1241 E Hillsdale Blvd
Ste 220
Foster City, CA 94404
Phone (650) 288-1633

20398 Blauer Dr
Saratoga, CA 95070
Phone (408) 502-5000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: enguyen591606@hisp.ehr.sutterhealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1235592387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 E HILLSDALE BLVD STE 220",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944041296",
            "telephone_number": "650-288-1633",
            "fax_number": "650-288-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 E HILLSDALE BLVD STE 220",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944041296",
            "telephone_number": "650-288-1633",
            "fax_number": "650-288-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ELENA",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-05",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A173649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foster City, CA

Sources for this page

Verify at the official NPI Registry.