Individual provider Active NPI

Berlinda Thuy Nguyen, OD

  • Optometrist
  • Escondido, CA
National Provider Identifier
1417776238
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35862 Issued in CA
Practice address
2949 Silverado PL
Escondido, CA 92027-4227
Phone
(858) 207-7072
NPI assigned
Oct 8, 2024
Last updated
Oct 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35862 CA Primary

Addresses

Primary practice location

2949 Silverado PL
Escondido, CA 92027-4227

Mailing address

2949 Silverado PL
Escondido, CA 92027-4227
Phone (858) 207-7072

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
I20241125002241 CA Practitioner - Optometry 7113452384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adam Rosa OD IncGroup PAC ID 7517342348, 3 clinicians

Practice addresses (Care Compare)

711 Grand Ave
Suite 2
Carlsbad, CA 92008-2485
Phone (760) 729-4327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adam Rosa OD Inc Optometrist CurrentSince Nov 1, 2024 Accepting new patients
North Coast Optometry Optometrist PastSince Nov 1, 2024 Accepting new patients

Locations

711 Grand Ave
Ste 2
Carlsbad, CA 92008
Phone (760) 729-4327

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1417776238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2949 SILVERADO PL",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920274227",
            "telephone_number": "858-207-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 SILVERADO PL",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920274227",
            "telephone_number": "858-207-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "BERLINDA",
        "middle_name": "THUY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.