Individual provider Active NPI

Tram Dang Nguyen, O.D.

  • Optometrist
  • West Covina, CA
National Provider Identifier
1316196389
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13476 TPL Issued in CA
Practice address
1111 Plaza Dr
West Covina, CA 91790
Phone
(626) 337-7148
NPI assigned
Sep 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13476 TPL CA Primary

Addresses

Primary practice location

1111 Plaza Dr
West Covina, CA 91790

Mailing address

10614 Lower Azusa Rd
El Monte, CA 91731-1210
Phone (626) 442-6620

Other practice location 1

10614 Lower Azusa Rd
El Monte, CA 91731-1210
Phone (626) 442-6620

Other practice location 2

1111 Plaza Dr
West Covina, CA 91790
Phone (626) 337-7148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13476CAMDProfessional Counselor
13476 TPLCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Kislinger M.D., Inc. Past Accepting new patients
Luxottica of America Inc PastSince Sep 15, 2019 Accepting new patients
New Insight Optometric Center, Inc. Optometrist PastSince Jul 23, 2002 Accepting new patients

Organizations & group practices 3

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": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1316196389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10614 LOWER AZUSA RD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917311210",
            "telephone_number": "626-442-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 PLAZA DR",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91790",
            "telephone_number": "626-337-7148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10614 Lower Azusa Rd",
            "address_purpose": "LOCATION",
            "city": "El Monte",
            "state": "CA",
            "postal_code": "917311210",
            "country_code": "US",
            "telephone_number": "626-442-6620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "91790",
            "country_code": "US",
            "telephone_number": "626-337-7148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TRAM",
        "middle_name": "DANG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13476 TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.