David Nguyen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

15255TLG Issued in CA

Practice address

19998 Homestead Rd Ste E
Cupertino, CA 95014-0569

Phone

(510) 744-2010

NPI assigned

May 21, 2015

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Keith H. Kosakura, O.D.

  • Optometrist
  • Cupertino, CA
  • NPI 1922092022
  Medicare reassignment
• Jenifer E L Webb OD, Inc.

  dba Shoreline Optometry

  • Optometrist
  • Mountain View, CA
  • NPI 1245092527
  NPD
• Keith Kosakura, O.D.

  • Corneal and Contact Management Optometrist
  • Cupertino, CA
  • NPI 1811124316
  NPD (past)

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1730568833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 HUMBOLT AVE",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950513747",
            "telephone_number": "408-940-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19998 HOMESTEAD RD STE E",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950140569",
            "telephone_number": "510-744-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DAVID",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-21",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15255TLG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "CA1607603",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CHI Ngo, RPH
• Eric Ngo
• Amy Nguyen, DDS
• Bella T Nguyen, DO
• Cong Thanh Nguyen, LAC
• Emmalee Anh Nguyen
• Hanh Thi Nguyen, FNP
• Hung Nguyen
• Jennifer Nguyen
• Jenny Duyen Nguyen, PT, DPT

• Optometrist in Cupertino, CA
• Providers in Cupertino, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.