Individual provider Active NPI

Nhan T DO, O.D.

  • Optometrist
  • Santa Ana, CA
National Provider Identifier
1689805830
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10310T Issued in CA
Practice address
3750 W McFadden Ave Ste C
Santa Ana, CA 92704-1388
Phone
(714) 839-1515
NPI assigned
Aug 6, 2009
Last updated
Nov 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 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 10310T CA Primary

Addresses

Primary practice location

3750 W McFadden Ave Ste C
Santa Ana, CA 92704-1388

Mailing address

3750 W McFadden Ave Ste C
Santa Ana, CA 92704-1388
Phone (714) 839-1515

Other names 1

  • Dr. Nathan T DO Professional name

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
I20140619002349 CA Practitioner - Optometry 1153552088 Practice locations: Santa Ana, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10310TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Ana Family Optometry Optometrist CurrentSince Mar 1, 2014 Accepting new patients

Locations

3750 W McFadden Ave
Ste C
Santa Ana, CA 92704
Phone (714) 323-0723

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": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1689805830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 W MCFADDEN AVE STE C",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927041388",
            "telephone_number": "714-839-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 W MCFADDEN AVE STE C",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927041388",
            "telephone_number": "714-839-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "NHAN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-06",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10310T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATHAN",
            "last_name": "DO",
            "middle_name": "T",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.