Individual provider Active NPI

Randall L Nguyen, MD

  • Ophthalmology Physician
  • Long Beach, CA
National Provider Identifier
1750382008
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A55189 Issued in CA
Practice address
4300 Long Beach Blvd
Suite 300
Long Beach, CA 90807-2011
Phone
(562) 984-7024
Fax
(562) 428-7394
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A55189 CA Primary

Addresses

Primary practice location

4300 Long Beach Blvd
Suite 300
Long Beach, CA 90807-2011

Mailing address

4300 Long Beach Blvd
Suite 300
Long Beach, CA 90807-2011
Phone (562) 984-7024

Other identifiers 1

IdentifierTypeStateIssuer
00A551890MedicaidCA

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
I20050526001048 CA Practitioner - Ophthalmology 6901848167 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carson McBeath and Boswell IncGroup PAC ID 1153325394, 7 clinicians

Practice addresses (Care Compare)

361 Hospital Rd
Suite 126
Newport Beach, CA 92663-3510
Phone (562) 984-7024

4300 Long Beach Blvd
Suite 300
Long Beach, CA 90807-2008
Phone (562) 984-7024

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A55189CAMDOphthalmology Physician
55189CAMDPhysician Assistant

Practice roles (11 of 12)

OrganizationSpecialtyStatusNew patients
Carson McBeath & Boswell Inc. Ophthalmology CurrentSince Oct 4, 2004 Accepting new patients
Marshall B. Ketchum University Current Accepting new patients
Marshall B. Ketchum University CurrentSince Jun 1, 2022 Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Markman & Wolstan, a Medical Group Ophthalmology Past Accepting new patients
Carson MC Beath & Boswell Inc Ophthalmology Past Accepting new patients
Torrance Memorial Medical Center Ophthalmology Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Clarity Eye Group Ophthalmology PastSince Jan 2, 2022 Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients

Locations

5460 E La Palma Ave
Anaheim, CA 92807
Phone (714) 463-7500

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

7677 Center Ave
Ste 302
Huntington Beach, CA 92647
Phone (562) 984-7024

2925 Palo Verde Ave
Long Beach, CA 90815
Phone (562) 421-2757

4300 Long Beach Blvd
Ste 300
Long Beach, CA 90807
Phone (562) 984-7024

4300 Long Beach Blvd
Ste 3000
Long Beach, CA 90807

10861 Cherry St
Ste 204
Los Alamitos, CA 90720
Phone (562) 598-2020

361 Hospital Rd
Ste 126
Newport Beach, CA 92663
Phone (562) 984-7024

2601 Airport Dr
Ste 210
Torrance, CA 90505
Phone (310) 784-0810

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: randall.nguyen.p1@direct.eplb.nextgenshare.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 12

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1750382008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 LONG BEACH BLVD",
            "address_2": "SUITE 300",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072011",
            "telephone_number": "562-984-7024",
            "fax_number": "562-428-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 LONG BEACH BLVD",
            "address_2": "SUITE 300",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072011",
            "telephone_number": "562-984-7024",
            "fax_number": "562-428-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "RANDALL",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A55189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A551890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.