Individual provider Active NPI

Elizabeth V. Nguyen, D.O.

  • Ophthalmology Physician
  • Fountain Valley, CA
National Provider Identifier
1689891640
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
20A 10810 Issued in CA
Practice address
17010 Magnolia St Ste a
Fountain Valley, CA 92708-3215
Phone
(714) 839-2077
Fax
(714) 839-9692
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 5101016090 MI
Ophthalmology Physician 207W00000X 20A 10810 CA Primary

Addresses

Primary practice location

17010 Magnolia St Ste a
Fountain Valley, CA 92708-3215

Mailing address

17010 Magnolia St Ste a
Fountain Valley, CA 92708-3215
Phone (714) 839-2077

Other practice location 1

210 Hospital Cir
Suite C
Westminster, CA 92683-3900
Phone (714) 890-6000

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111117000184 CA Practitioner - OphthalmologyPractitioner - Plastic and Reconstructive Surgery 6901977735 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael K Tran M D IncGroup PAC ID 0446340806, 2 clinicians

Practice addresses (Care Compare)

12665 Garden Grove Blvd
Suite 401
Garden Grove, CA 92843-1918
Phone (714) 534-8373

15355 Brookhurst St
Suite 104
Westminster, CA 92683-7071
Phone (714) 839-2077

17010 Magnolia St
Suite a
Fountain Valley, CA 92708-3204
Phone (714) 839-2077

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.27 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.23

Merit-based Incentive Payment System (MIPS)

Final score
99.31 of 100Reported as group
Quality
98.94
Promoting interoperability
93
Improvement activities
40
Cost
75.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
10810CAMDMental Health Counselor
20A 10810CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael K. Tran, M.D., Inc. Ophthalmology CurrentSince Jul 4, 2023 Accepting new patients
Oculofacial Plastic and Reconstructive Surgery Inc CurrentSince Oct 1, 2011 Accepting new patients
Orange County Ophthalmology Medical Group Ophthalmology CurrentSince Aug 1, 2023 Accepting new patients
Orange Coast Memorial Medical Center PastSince Jul 7, 2024 Accepting new patients

Locations

17010 Magnolia St
Ste A
Fountain Valley, CA 92708
Phone (714) 839-2077

12665 Garden Grove Blvd
Ste 401
Garden Grove, CA 92843
Phone (714) 534-8373

210 Hospital Cir
Ste C
Westminster, CA 92683
Phone (714) 890-6000

15355 Brookhurst St
Ste 104
Westminster, CA 92683
Phone (714) 839-2077

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: elizabethnguyen@hcpca.allscriptsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1689891640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17010 MAGNOLIA ST STE A",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083215",
            "telephone_number": "714-839-2077",
            "fax_number": "714-839-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17010 MAGNOLIA ST STE A",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083215",
            "telephone_number": "714-839-2077",
            "fax_number": "714-839-9692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Hospital Cir",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CA",
            "postal_code": "926833900",
            "country_code": "US",
            "telephone_number": "714-890-6000",
            "fax_number": "714-890-6004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ELIZABETH",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2024-07-03",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "5101016090",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "20A 10810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.