Active NPI
Peter Van Nguyen, OD
- Optometrist
- Rowland Heights, CA
National Provider Identifier
1316589526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 34365
- Practice address
- 17572 Colima Rd
Rowland Heights, CA 91748-1754 - Phone
- (626) 810-2022
- NPI assigned
- Oct 9, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 34365 | CA | Primary |
Addresses
Primary practice location
17572 Colima Rd
Rowland Heights, CA 91748-1754
Mailing address
1313 N Devonshire Rd
Anaheim, CA 92801-1450
Phone (714) 582-9874
Other practice location 1
2240 S Central Ave
Compton, CA 90220-5311
Phone (310) 554-1543
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Compton |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34365 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Vision Inc | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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": "1570579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608595200000",
"number": "1316589526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1313 N DEVONSHIRE RD",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011450",
"telephone_number": "714-582-9874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17572 COLIMA RD",
"city": "ROWLAND HEIGHTS",
"state": "CA",
"postal_code": "917481754",
"telephone_number": "626-810-2022"
}
],
"practiceLocations": [
{
"address_1": "2240 S Central Ave",
"address_purpose": "LOCATION",
"city": "Compton",
"state": "CA",
"postal_code": "902205311",
"country_code": "US",
"telephone_number": "310-554-1543",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "PETER",
"middle_name": "VAN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-09",
"last_updated": "2020-12-22",
"certification_date": "2020-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "34365",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Compton",
"affiliation": "N",
"address_1": "2240 S Central Ave",
"city": "Compton",
"state": "CA",
"country_code": "US",
"postal_code": "902205311",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Rowland Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.