Active NPI
Tiffany Thai Nguyen, O.D.
- Optometrist
- Northridge, CA
National Provider Identifier
1689054884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT 15198 TLG
- Practice address
- 8840 Corbin Ave
Northridge, CA 91324-3309 - Phone
- (818) 349-0811
- NPI assigned
- Jun 2, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 15198 | CA | |
| Optometrist | 152W00000X | OPT 15198 TLG | CA | Primary |
Addresses
Primary practice location
8840 Corbin Ave
Northridge, CA 91324-3309
Mailing address
8840 Corbin Ave
Northridge, CA 91324-3309
Other practice location 1
19821 Rinaldi St
Porter Ranch, CA 91326-4145
Phone (818) 832-1493
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 |
|---|---|---|---|
| OPT 15198 TLG | CA | MD | Optometrist |
Organizations & group practices 1
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
- Lancaster, CA
- NPI 1548572340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546387200000",
"number": "1689054884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8840 CORBIN AVE",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913243309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8840 CORBIN AVE",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913243309",
"telephone_number": "818-349-0811"
}
],
"practiceLocations": [
{
"address_1": "19821 Rinaldi St",
"address_purpose": "LOCATION",
"city": "Porter Ranch",
"state": "CA",
"postal_code": "913264145",
"country_code": "US",
"telephone_number": "818-832-1493",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "TIFFANY",
"middle_name": "THAI",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-02",
"last_updated": "2019-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "15198",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT 15198 TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.