Active NPI
Triet M. Nguyen, M.D., Inc.
- Ophthalmology Physician
- Westminster, CA
National Provider Identifier
1396123188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G76262
- Legal business name
- TRIET M. NGUYEN, M.D., INC.
- Practice address
- 14501 Magnolia St Ste 103
Westminster, CA 92683-1307 - Phone
- (714) 899-0054
- Fax
- (714) 899-0117
- NPI assigned
- May 12, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Triet Minh Nguyen, M.D.
- Title
- President
- Phone
- (714) 899-0054
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G76262 | CA | Primary |
Addresses
Primary practice location
14501 Magnolia St Ste 103
Westminster, CA 92683-1307
Mailing address
14501 Magnolia St Ste 103
Westminster, CA 92683-1307
Phone (714) 899-0054
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150522001784 | CA | Part B Supplier - Clinic/Group Practice | 1456463017 |
Receives reassigned benefits from 1 practitioner 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).
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Westminster, CA
- NPI 1306807789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674086400000",
"number": "1396123188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14501 MAGNOLIA ST STE 103",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926831307",
"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": "14501 MAGNOLIA ST STE 103",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926831307",
"telephone_number": "714-899-0054",
"fax_number": "714-899-0117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIET M. NGUYEN, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-12",
"last_updated": "2023-01-19",
"certification_date": "2023-01-19",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "TRIET",
"authorized_official_middle_name": "MINH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-899-0054",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "CA",
"license": "G76262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westminster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.