Diep Nguyen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

11715 Issued in CA

Practice address

3040 Plaza Bonita Rd
National City, CA 91950-8004

Phone

(540) 429-1924

NPI assigned

Jul 15, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Diep Degraziano Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gregory P. Jellenek, OD & Associates, PC

  • Optometrist
  • Newport News, VA
  • NPI 1144259250
  NPD (past)
• Simon Tran OD & Associates

  • Optometrist
  • Newport News, VA
  • NPI 1699064030
  NPD (past)

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390521600000",
    "number": "1477866788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4247 SPECTRUM",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183380",
            "telephone_number": "540-429-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 PLAZA BONITA RD",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919508004",
            "telephone_number": "540-429-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DIEP",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-15",
        "last_updated": "2014-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001188",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11715",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "683",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIEP",
            "last_name": "DEGRAZIANO",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Douglas Gairns Ness, DDS
• Neuromatters and Wellness a Professional Nursing Practice Corporation
• New Image Dentistry
• Carmen Tam Nguyen, CCC-SLP
• David Nguyen, PHARMD
• Kaitlyn Kieu Nguyen, NURSE PRACTITIONER
• Shannon Thao Nguyen
• Tia Danae Nguyen, PT, DPT
• Troy Huvilla Niguidula, MD
• Nimble Pharmacy Inc

• Optometrist in National City, CA
• Providers in National City, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; 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.