Individual provider Active NPI

Janet Bao Nghiem, O.D.

  • Optometrist
  • Westminster, CA
National Provider Identifier
1588752356
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12843T Issued in CA
Practice address
9200 Bolsa Ave Ste 131-3-4
Westminster, CA 92683-5500
Phone
(714) 903-7858
Fax
(714) 903-5698
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12843T CA Primary

Addresses

Primary practice location

9200 Bolsa Ave Ste 131-3-4
Westminster, CA 92683-5500

Mailing address

9393 Bolsa Ave
Ste C
Westminster, CA 92683-5975
Phone (714) 903-7858

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
I20070517000742 CA Practitioner - Optometry 7517064058 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12843TCAMDOptometrist
12843CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Janet Nghiem,O.D. an Optometric Professional Corp. Optometrist CurrentSince Sep 5, 2005 Accepting new patients

Locations

9200 Bolsa Ave
Ste 131
Westminster, CA 92683
Phone (714) 903-7858

9393 Bolsa Ave
Ste C
Westminster, CA 92683
Phone (714) 839-8581

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1588752356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9393 BOLSA AVE",
            "address_2": "STE C",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835975",
            "telephone_number": "714-903-7858",
            "fax_number": "714-903-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 BOLSA AVE STE 131-3-4",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835500",
            "telephone_number": "714-903-7858",
            "fax_number": "714-903-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGHIEM",
        "first_name": "JANET",
        "middle_name": "BAO",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12843T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.