Active NPI
Stephanie Nguyen
- Optometrist
- Cupertino, CA
National Provider Identifier
1629366513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 14159
- Practice address
- 1 Infinite Loop
Cupertino, CA 95014-2083 - Phone
- (408) 783-4000
- NPI assigned
- Jul 13, 2011
- Sex
- Female
- 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 | 14159 | CA | Primary |
Addresses
Primary practice location
1 Infinite Loop
Cupertino, CA 95014-2083
Mailing address
1 Infinite Loop
Cupertino, CA 95014-2083
Phone (408) 783-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 26, 2016 through Jul 26, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14159 | CA | MD | Family Nurse Practitioner |
Interoperability endpoints
- stephanie.nguyen.1@19661.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455840000000",
"number": "1629366513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 INFINITE LOOP",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950142083",
"telephone_number": "408-783-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 INFINITE LOOP",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950142083",
"telephone_number": "408-783-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "STEPHANIE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-13",
"last_updated": "2016-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "14159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cupertino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.