Individual provider Active NPI

Diana Nguyen, OD

  • Optometrist
  • Livermore, CA
National Provider Identifier
1659955201
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34790 Issued in CA
Practice address
4423 First St
Livermore, CA 94551-4915
Phone
(925) 292-0025
NPI assigned
May 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 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 34790 CA Primary

Addresses

Primary practice location

4423 First St
Livermore, CA 94551-4915

Mailing address

4423 First St
Livermore, CA 94551-4915

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
I20251211001927 CA Practitioner - Optometry 7618461195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2500 Miramar Ave
Apt 306
Castro Valley, CA 94546-2800

500 W Jefferson St
Suite 2310
Louisville, KY 40202-2881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34790CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Doctor, Inc. Optometrist CurrentSince May 16, 2021 Accepting new patients
For Your Eyes Only Ophthalmic Medical Corp. Optometrist CurrentSince Dec 2, 2025 Accepting new patients
For Your Eyes Only Ophthalmic Medical Corp. Optometrist CurrentSince Dec 2, 2025 Accepting new patients

Locations

2687 Castro Valley Blvd
Castro Valley, CA 94546
Phone (510) 538-3937

4423 1st St
Livermore, CA 94551
Phone (925) 292-0025

1811 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 933-1344

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": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1659955201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 FIRST ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945514915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 FIRST ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945514915",
            "telephone_number": "925-292-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

Verify at the official NPI Registry.