Ai (Theresa) Diem Nguyen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT11481 Issued in CA

Practice address

6945 El Cajon Blvd
San Diego, CA 92115-1754

Phone

(619) 697-4600

Fax

(619) 464-5526

NPI assigned

Oct 31, 2005

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

Pennsylvania College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Eye ClinicGroup PAC ID 9931092962, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.87 of 100Reported as group

Quality

93.35

Improvement activities

40

Cost

58.42

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• California Eye Clinic

  • Ophthalmology Physician
  • San Ramon, CA
  • NPI 1730479957
  Medicare reassignment Care Compare group NPD
• California Eye Clinic

  • Ophthalmology Physician
  • Walnut Creek, CA
  • NPI 1225172356

  Optometrist

  NPD

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1508857533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6945 EL CAJON BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921151754",
            "telephone_number": "619-697-4600",
            "fax_number": "619-464-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6945 EL CAJON BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921151754",
            "telephone_number": "619-697-4600",
            "fax_number": "619-464-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "AI (THERESA)",
        "middle_name": "DIEM",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT11481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "OPT11481",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0052930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nguyen Medical Corporation
• Jadzia Nguyen-Tinh Nguyen-Khoa, DO
• Kathy Nguyen-Pham
• Sarah Ngoc Dung Nguyen-Tran
• Jolene N. Nguyen-Zin, D.D.S.
• Aily Thi Nguyen, CATC #167680
• Albert Phan Nguyen, MD
• Alexandre D Nguyen
• Alfonso Vinh Nguyen
• Allison Tam Nguyen

• Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.