Individual provider Active NPI

Monica Nguyen, O.D.

  • Optometrist
  • San Leandro, CA
National Provider Identifier
1356959258
Registry record updated Jan 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34630 Issued in CA
Practice address
157 Parrott St
San Leandro, CA 94577-4813
Phone
(510) 488-4770
NPI assigned
Jul 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 34630 CA Primary

Addresses

Primary practice location

157 Parrott St
San Leandro, CA 94577-4813

Mailing address

8414 Patmon Dr
Elk Grove, CA 95624-4106
Phone (916) 225-6209

Other practice location 1

130 S Sunnyvale Ave
Sunnyvale, CA 94086-6249
Phone (380) 736-3802

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200827003031 CA Practitioner - Optometry 1254758873 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Gary Gold and Associates OptometryGroup PAC ID 9537466198, 7 clinicians
Rosalia Saavedra OD a Professional CorporationGroup PAC ID 0648550780, 3 clinicians

Practice addresses (Care Compare)

130 S Sunnyvale Ave
Sunnyvale, CA 94086-6249
Phone (408) 736-3802

157 Parrott St
San Leandro, CA 94577-4813
Phone (510) 483-4770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rosalia Saavedra,OD a Professional Corporation Optometrist CurrentSince Oct 17, 2023 Accepting new patients
Through the Hayes Optometry Inc Optometrist CurrentSince Jul 13, 2025 Accepting new patients
Dr. Gary Gold & Associates Optometry Optometrist CurrentSince Oct 17, 2023 Accepting new patients
San Leandro Optometry GRP Optometrist Past Accepting new patients

Locations

157 Parrott St
San Leandro, CA 94577
Phone (510) 483-2020

130 S Sunnyvale Ave
Sunnyvale, CA 94086
Phone (408) 736-3802

Organizations & group practices 4

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": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674864000000",
    "number": "1356959258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8414 PATMON DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956244106",
            "telephone_number": "916-225-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 PARROTT ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774813",
            "telephone_number": "510-488-4770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 S Sunnyvale Ave",
            "address_purpose": "LOCATION",
            "city": "Sunnyvale",
            "state": "CA",
            "postal_code": "940866249",
            "country_code": "US",
            "telephone_number": "380-736-3802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MONICA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2023-01-28",
        "certification_date": "2021-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.