Individual provider Active NPI

Triet Minh Nguyen, M.D.

  • Ophthalmology Physician
  • Westminster, CA
National Provider Identifier
1306807789
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G76262 Issued in CA
Practice address
9286 Bolsa Ave
Westminster, CA 92683-5557
Phone
(714) 899-0054
Fax
(714) 899-0117
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2011

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 G76262 CA Primary

Addresses

Primary practice location

9286 Bolsa Ave
Westminster, CA 92683-5557

Mailing address

PO Box 2247
Westminster, CA 92684-2247
Phone (714) 899-0054

Other identifiers 1

IdentifierTypeStateIssuer
00G762620MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120104000327 CA Practitioner - Ophthalmology 4082722616 Reassigns benefits to 1 organization
O20100930054101 CA DME Supplier - Physician - Ophthalmology 1456463017 Practice locations: Westminster, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Yale University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14501 Magnolia St
Suite 103
Westminster, CA 92683-1307
Phone (714) 899-0054

9286 Bolsa Ave
Westminster, CA 92683-5557

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G76262CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Triet M. Nguyen, M.D., Inc. Ophthalmology CurrentSince May 1, 2001 Accepting new patients
Triet M. Nguyen, M.D., Inc. Ophthalmology CurrentSince Nov 2, 2014 Accepting new patients

Locations

14501 Magnolia St
Ste 103
Westminster, CA 92683
Phone (714) 594-7575

9286 Bolsa Ave
Westminster, CA 92683
Phone (714) 899-0054

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297036800000",
    "number": "1306807789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2247",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926842247",
            "telephone_number": "714-899-0054",
            "fax_number": "714-899-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9286 BOLSA AVE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835557",
            "telephone_number": "714-899-0054",
            "fax_number": "714-899-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TRIET",
        "middle_name": "MINH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2011-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G76262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G762620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.