Individual provider Active NPI

Ngoc-Yen Thi Hoang, OD

  • Optometrist
  • Long Beach, CA
National Provider Identifier
1609993682
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11650 Issued in CA
Practice address
3705 E South St
Long Beach, CA 90805-4521
Phone
(562) 790-2460
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11650 CA Primary

Addresses

Primary practice location

3705 E South St
Long Beach, CA 90805-4521

Mailing address

500 E Wilken Way
Anaheim, CA 92802-4946
Phone (714) 501-1009

Other practice location 1

8150 La Palma Ave
Buena Park, CA 90620-3204
Phone (714) 501-1009

Other identifiers 2

IdentifierTypeStateIssuer
SD0011650MedicaidCA
9840834OtherCAMEDICAL PIN

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
I20080722000478 CA Practitioner - Optometry 0547333775 Practice locations: Long Beach, CA; Buena Park, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1609993682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E WILKEN WAY",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928024946",
            "telephone_number": "714-501-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 E SOUTH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908054521",
            "telephone_number": "562-790-2460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8150 LA PALMA AVE",
            "address_purpose": "LOCATION",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203204",
            "country_code": "US",
            "telephone_number": "714-501-1009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOANG",
        "first_name": "NGOC-YEN",
        "middle_name": "THI",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0011650",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PIN",
            "identifier": "9840834",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.