NPIMap

Organization Active NPI

Monique M Nguyen, OD, Inc

  • Optometrist
  • Ladera Ranch, CA
National Provider Identifier
1376713123
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11931T Issued in CA
Legal business name
MONIQUE M NGUYEN, OD, INC
Practice address
777 Corporate Dr
Ste 200
Ladera Ranch, CA 92694-2135
Phone
(949) 364-4455
Fax
(949) 364-4419
NPI assigned
Mar 7, 2008
Last updated
Mar 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Authorized official

Name
Dr. Monique M Nguyen, O.D.NPI 1275636664
Title
President
Phone
(949) 364-4455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11931T CA Primary
Pediatric Optometrist 152WP0200X 11931T CA
Sports Vision Optometrist 152WS0006X 11931T CA
Vision Therapy Optometrist 152WV0400X 11931T CA

Addresses

Primary practice location

777 Corporate Dr
Ste 200
Ladera Ranch, CA 92694-2135

Mailing address

777 Corporate Dr
Ste 200
Ladera Ranch, CA 92694-2135
Phone (949) 364-4455

National Provider Directory

National Provider Directory

Locations

777 Corporate Dr
Ste 200
Ladera Ranch, CA 92694
Phone (949) 364-4455

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1376713123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CORPORATE DR",
            "address_2": "STE 200",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942135",
            "telephone_number": "949-364-4455",
            "fax_number": "949-364-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CORPORATE DR",
            "address_2": "STE 200",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942135",
            "telephone_number": "949-364-4455",
            "fax_number": "949-364-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONIQUE M NGUYEN, OD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-364-4455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11931T",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "11931T",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "CA",
            "license": "11931T",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "11931T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladera Ranch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.