Individual provider Active NPI

Tracy Nguyen Salgado, OD

  • Optometrist
  • Mountain View, CA
National Provider Identifier
1740701796
Registry record updated Jun 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33728TLG Issued in CA
Practice address
1039 El Monte Ave Ste K
Mountain View, CA 94040-2371
Phone
(650) 967-0140
NPI assigned
Jun 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33728TLG CA Primary

Addresses

Primary practice location

1039 El Monte Ave Ste K
Mountain View, CA 94040-2371

Mailing address

1453 Peach Ave
Manteca, CA 95337-9522
Phone (209) 640-2509

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
I20170828003279 CA Practitioner - Optometry 6406128396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fremont Optometric GroupGroup PAC ID 9638118342, 5 clinicians

Practice addresses (Care Compare)

39355 California St
Suite 103
Fremont, CA 94538-1447
Phone (510) 744-2010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33728TLGCAMDOptometrist
33728CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fyidoctors of California, Inc. Optometrist CurrentSince Aug 16, 2021 Accepting new patients
Fremont Optometric Group Optometrist CurrentSince Mar 21, 2022 Accepting new patients

Locations

39355 California St
Ste 103
Fremont, CA 94538
Phone (510) 744-2010

1039 El Monte Ave
Ste K
Mountain View, CA 94040
Phone (650) 967-0140

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498694400000",
    "number": "1740701796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1453 PEACH AVE",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953379522",
            "telephone_number": "209-640-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 EL MONTE AVE STE K",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402371",
            "telephone_number": "650-967-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALGADO",
        "first_name": "TRACY",
        "middle_name": "NGUYEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2017-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33728TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.