Active NPI
Diana Camtu Nguyen, O. D.
- Optometrist
- Santa Ana, CA
National Provider Identifier
1649499229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT12457 TPL
- Practice address
- 903 S. Bristol St. Unit a
Santa Ana, CA 92703-2114 - Phone
- (714) 200-4261
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | OPT12457 TPL | CA | Primary |
Addresses
Primary practice location
903 S. Bristol St. Unit a
Santa Ana, CA 92703-2114
Mailing address
903 S Bristol St. Unit a
Santa Ana, CA 92703-2114
Phone (714) 200-4261
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12457 | CA | MD | School Psychologist |
| OPT12457 TPL | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diana Nguyen Optometry Inc | Optometrist | Current | Accepting new patients |
| Bristol Opticians Inc. | Optometrist | Past | Accepting new patients |
| United Eye Care Optometry, Inc. | Optometrist | Past | Accepting new patients |
Locations
903 S Bristol St
Ste A
Santa Ana, CA 92703
Phone (714) 200-4261
Organizations & group practices 3
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.
-
- Optometrist
- Santa Ana, CA
- NPI 1225266463
-
- Optometrist
- Westminster, CA
- NPI 1033307889
-
- Optometrist
- Brooklyn, NY
- NPI 1144391749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629331200000",
"number": "1649499229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 S BRISTOL ST. UNIT A",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927032114",
"telephone_number": "714-200-4261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 S. BRISTOL ST. UNIT A",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927032114",
"telephone_number": "714-200-4261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "DIANA",
"middle_name": "CAMTU",
"credential": "O. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT12457 TPL",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.