Individual provider Active NPI

Diana Camtu Nguyen, O. D.

  • Optometrist
  • Santa Ana, CA
National Provider Identifier
1649499229
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT12457 TPL Issued in CA
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

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040521001273 CA Practitioner - Optometry 0749278844 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12457CAMDSchool Psychologist
OPT12457 TPLCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Diana Nguyen Optometry Inc Optometrist CurrentSince Nov 1, 2011 Accepting new patients
Bristol Opticians Inc. Optometrist PastSince Nov 1, 2011 Accepting new patients
United Eye Care Optometry, Inc. Optometrist PastSince May 1, 2004 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.

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

Verify at the official NPI Registry.