Active NPI
Kim-Khanh Nguyen, O.D.
- Optometrist
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 14282
- Practice address
- 451 Blossom Hill Rd Ste 10
San Jose, CA 95123-1658 - Phone
- (408) 281-3926
- Fax
- (408) 281-2515
- NPI assigned
- Aug 17, 2011
- Last updated
- Jan 26, 2022
- 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 | 14282 | CA | Primary |
Addresses
Primary practice location
451 Blossom Hill Rd Ste 10
San Jose, CA 95123-1658
Mailing address
451 Blossom Hill Rd Ste 10
San Jose, CA 95123-1658
Phone (408) 281-3926
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Missouri St Louis - School of Optometry, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
451 Blossom Hill Rd
Suite 10
San Jose, CA 95123-1658
Phone (408) 281-3926
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kim Khanh Nguyen OD Inc | Optometrist | Current | Accepting new patients |
| Pietrantonio Optometric Inc | Optometrist | Past | Accepting new patients |
Locations
451 Blossom Hill Rd
Ste 10
San Jose, CA 95123
Phone (408) 281-3926
925 Blossom Hill Rd
Ste 1224
San Jose, CA 95123
Phone (408) 281-3926
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1649550013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 BLOSSOM HILL RD STE 10",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951231658",
"telephone_number": "408-281-3926",
"fax_number": "408-281-2515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 BLOSSOM HILL RD STE 10",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951231658",
"telephone_number": "408-281-3926",
"fax_number": "408-281-2515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KIM-KHANH",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-17",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "14282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.