Individual provider Active NPI

Victoria Vuong Nguyen, O.D.

  • Optometrist
  • San Diego, CA
National Provider Identifier
1619468709
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33930TLG Issued in CA
Practice address
13126 Roundup Ave
San Diego, CA 92129-2453
Phone
(858) 414-1357
NPI assigned
May 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33930TLG CA Primary

Addresses

Primary practice location

13126 Roundup Ave
San Diego, CA 92129-2453

Mailing address

13126 Roundup Ave
San Diego, CA 92129-2453
Phone (858) 414-1357

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
I20240619002654 CA Practitioner - Optometry 5890238760 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Western University of Health Sciences College of Dental Med, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grossmont Dermatology Medical ClinicGroup PAC ID 4981672342, 10 clinicians

Practice addresses (Care Compare)

5550 Carmel Mountain Rd
Suite 206
San Diego, CA 92130-4861
Phone (858) 943-2540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33930CAMDPsychologist
33930TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Allen Chung OD Optometric Corporation Optometrist CurrentSince Jan 31, 2026 Accepting new patients
Grossmont Dermatology Medical Clinic CurrentSince Jun 1, 2024 Accepting new patients
Steven D. Satnick OD, Apc Optometrist CurrentSince Jan 31, 2026 Accepting new patients
Stephen William Doggett, M.D. PA PastSince Feb 24, 2018 Accepting new patients

Locations

489 Saxony Pl
Ste 101
Encinitas, CA 92024
Phone (760) 257-5550

8860 Center Dr
Ste 300
La Mesa, CA 91942
Phone (619) 462-1670

5550 Carmel Mountain Rd
Ste 206
San Diego, CA 92130
Phone (858) 943-2540

9460 Mira Mesa Blvd
Ste A
San Diego, CA 92126
Phone (858) 330-4200

Organizations & group practices 4

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": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1619468709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13126 ROUNDUP AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292453",
            "telephone_number": "858-414-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13126 ROUNDUP AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292453",
            "telephone_number": "858-414-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VICTORIA",
        "middle_name": "VUONG",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33930TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.