Sandy Nguyen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13340 Issued in CA

Practice address

330 N Brand Blvd Ste 110
Glendale, CA 91203-2308

Phone

(818) 240-8090

Fax

(818) 246-2540

NPI assigned

Jul 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Optometry

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paula Vang OD IncGroup PAC ID 9234490087, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Paula Vang OD Inc

  • Optometrist
  • Sacramento, CA
  • NPI 1831613975
  Medicare reassignment Care Compare group
• Advanced Eyecare Professional Optometric Group

  • Optometrist
  • Glendale, CA
  • NPI 1306035118
  NPD
• Craig Anthony Lenz

  • Podiatrist
  • Stockton, CA
  • NPI 1538170204
  NPD (past)
• Physicians Network Services Medical Group

  • Optometrist
  • Placentia, CA
  • NPI 1457445215
  NPD (past)

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253491200000",
    "number": "1497945323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9969 WYATT RANCH WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958298019",
            "telephone_number": "916-478-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N BRAND BLVD STE 110",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032308",
            "telephone_number": "818-240-8090",
            "fax_number": "818-246-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "SANDY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2009-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NUMBER NPI",
            "identifier": "1306035118",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "BF492A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Bui Nguyen, DDS
• Lyna Thuy Nguyen, RPH
• Matthew Hieu Nguyen, D.P.M.
• Mitchell Baolong Nguyen
• Nathalie Nguyen, D.O.
• Thanh The Nguyen, D.O
• Tiffany Nguyen
• Van Nguyen, PHARMD
• Nick Dzebolo MD Inc
• Anashe Nicoghosian, M.A.

• Optometrist in Glendale, CA
• Providers in Glendale, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.