Individual provider Active NPI

Son Nguyen, O.D.

  • Optometrist
  • Bakersfield, CA
National Provider Identifier
1548212426
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CA11195T Issued in CA
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
SD0111950MedicaidCA

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
I20061026000186 CA Practitioner - Optometry 9830196377 Reassigns benefits to 2 organizations

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
Fifth Optometric Care of CaliforniaGroup PAC ID 4284096298, 22 clinicians

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

LicenseStateTypeSpecialty
CA11195TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fifth Optometric Care of California Optometrist CurrentSince Jul 25, 2024 Accepting new patients
Fifth Optometric Care of California Optometrist Current Accepting new patients
Fifth Optometric Care of California Optometrist CurrentSince Jul 25, 2024 Accepting new patients
Bakersfield Optometric Group Optometrist CurrentSince Sep 1, 2012 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.

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

Verify at the official NPI Registry.