Active NPI
Son Nguyen, O.D.
- Optometrist
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- CA11195T
- Practice address
- 9100 Rosedale Hwy
Bakersfield, CA 93312-2143 - Phone
- (661) 589-9870
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | CA11195T | CA | Primary |
Addresses
Primary practice location
9100 Rosedale Hwy
Bakersfield, CA 93312-2143
Mailing address
9906 Copa Cabana CT
Bakersfield, CA 93312-5982
Phone (661) 399-4549
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0111950 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5535 Calloway Dr
Suite 100
Bakersfield, CA 93312-9725
Phone (661) 340-3108
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CA11195T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fifth Optometric Care of California | Optometrist | Current | Accepting new patients |
| Fifth Optometric Care of California | Optometrist | Current | Accepting new patients |
| Fifth Optometric Care of California | Optometrist | Current | Accepting new patients |
| Bakersfield Optometric Group | Optometrist | Current | Accepting new patients |
| Fifth Optometric Care of California | Optometrist | Past | Accepting new patients |
| Fifth Optometric Care of California | Optometrist | Past | Accepting new patients |
Locations
11320 Ming Ave
Ste 360
Bakersfield, CA 93311
Phone (661) 847-9870
5535 Calloway Dr
#100
Bakersfield, CA 93312
Phone (661) 340-3108
3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564
417 Center St
Taft, CA 93268
Phone (661) 765-4270
Organizations & group practices 6
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.
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- NPI 1679302715
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- Optometrist
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- NPI 1699504746
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- Optometrist
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1548212426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9906 COPA CABANA CT",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933125982",
"telephone_number": "661-399-4549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9100 ROSEDALE HWY",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933122143",
"telephone_number": "661-589-9870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "SON",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "CA11195T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0111950",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.