Individual provider Active NPI

Juliana Nghiem, OD

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1467144352
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35431 Issued in CA
Practice address
2080 Century Park E Ste 911
Los Angeles, CA 90067-2012
Phone
(310) 229-1220
NPI assigned
May 22, 2023
Last updated
May 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35431 CA Primary

Addresses

Primary practice location

2080 Century Park E Ste 911
Los Angeles, CA 90067-2012

Mailing address

5019 Westwood St
Simi Valley, CA 93063-0230
Phone (805) 404-1501

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
I20230619001667 CA Practitioner - Optometry 8123486438 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden Ardaya and Lin Optometry IncGroup PAC ID 2961667399, 18 clinicians

Practice addresses (Care Compare)

8511 Pershing Dr
Playa del Rey, CA 90293-8101
Phone (310) 577-6401

Merit-based Incentive Payment System (MIPS)

Final score
91.19 of 100Reported as group
Quality
100
Improvement activities
40
Cost
70.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35431CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Vision Care a California General Partnership CurrentSince May 16, 2023 Accepting new patients
Golden Ardaya & Lin Optometry Inc Optometrist CurrentSince Sep 15, 2024 Accepting new patients

Locations

11696 San Vicente Blvd
Los Angeles, CA 90049
Phone (310) 820-2020

2080 Century Park E
Ste 911
Los Angeles, CA 90067
Phone (310) 229-1220

8511 Pershing Dr
Playa del Rey, CA 90293
Phone (310) 577-6401

11245 Washington Blvd
Whittier, CA 90606
Phone (562) 692-1208

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": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1467144352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5019 WESTWOOD ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930630230",
            "telephone_number": "805-404-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 911",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672012",
            "telephone_number": "310-229-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGHIEM",
        "first_name": "JULIANA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.