Mai-Anh CHTN Nguyen, O.D., Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

11482T Issued in CA

Legal business name

MAI-ANH CHTN NGUYEN, O.D., INC

Practice address

1661 Burdette Dr Ste H
San Jose, CA 95121-1681

Phone

(408) 238-4558

Fax

(406) 238-4576

NPI assigned

Apr 19, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Mai-Anh CHTN Nguyen, ODNPI 1134204654

Title

President/ Owner

Phone

(408) 238-4558

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Mai-Anh CHTN Nguyen, O.D.

  • Optometrist
  • San Jose, CA
  • NPI 1134204654
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1285121723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 BURDETTE DR STE H",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211681",
            "telephone_number": "408-238-4558",
            "fax_number": "406-238-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 BURDETTE DR STE H",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211681",
            "telephone_number": "408-238-4558",
            "fax_number": "406-238-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAI-ANH CHTN NGUYEN, O.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MAI-ANH",
        "authorized_official_middle_name": "CHTN",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "408-238-4558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11482T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0114820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mahsa Esfahani M.D. Professional Corporation
• Pantea Mahtosh, M.D.
• Margaret M Mahurin, P.T.
• Mai Huong Nguyen, DDS, Apc
• Mai Medical, Inc.
• Allison Mai, PHARMD
• Bryan Ly Mai, DPT
• Daniel Mai
• Darine Mai
• Dominic Mai, DO

• Optometrist in San Jose, CA
• Providers in San Jose, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.