Tina Nguyen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

34617 Issued in CA

Practice address

1696 Newport Blvd Ste D
Costa Mesa, CA 92627-3787

Phone

(949) 574-0200

Fax

(949) 200-3767

NPI assigned

Aug 13, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Chino Hills Optometry Inc

  • Optometrist
  • Chino Hills, CA
  • NPI 1144488032
  Medicare reassignment NPD
• Dr Sarah K Ito O D a Professional Corporation

  dba Ocean Park Optometry

  • Optometrist
  • Santa Monica, CA
  • NPI 1801910724
  Medicare reassignment NPD
• Norco Valley Optometry, Inc

  • Optometrist
  • Norco, CA
  • NPI 1851820872
  Medicare reassignment NPD
• Dan B Tran Medical Corporation

  dba Coastal Vision Medical Group, Inc.

  • Specialist
  • Long Beach, CA
  • NPI 1124131065

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1255942207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1696 NEWPORT BLVD STE D",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273787",
            "telephone_number": "949-574-0200",
            "fax_number": "949-200-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1696 NEWPORT BLVD STE D",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273787",
            "telephone_number": "949-574-0200",
            "fax_number": "949-200-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TINA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven H Nguyen
• Tammy Kelly Nguyen
• Tammy Thu Nguyen
• Tena Nguyen
• Thien Di Dang Nguyen, D.C., B.S.
• Tracy Nguyen
• Trang T Nguyen
• Tu Minh Nguyen
• Valerie Nguyen, PHARM D
• Victor Vu Nguyen, D.P.T.

• Optometrist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.