Individual provider Active NPI

Kim Oanh Nguyen, O.D.

  • Optometrist
  • Laguna Hills, CA
National Provider Identifier
1760534267
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11972 Issued in CA
Practice address
25401 Alicia Pkwy
Suite E
Laguna Hills, CA 92653-4958
Phone
(949) 951-8001
Fax
(949) 951-1552
NPI assigned
Jan 17, 2007
Last updated
Sep 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11972 CA Primary

Addresses

Primary practice location

25401 Alicia Pkwy
Suite E
Laguna Hills, CA 92653-4958

Mailing address

25401 Alicia Pkwy Ste E
Laguna Hills, CA 92653-4958
Phone (949) 951-8001

Other identifiers 1

IdentifierTypeStateIssuer
CB228573OtherCAMEDICARE PTAN

Other names 1

  • Kim Oanh Vu Former 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
I20080320000597 CA Practitioner - Optometry 9537245253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25401 Alicia Pkwy E
Laguna Hills, CA 92653-4958

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11972CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Randall R. Alessi OD, Inc Optometrist CurrentSince Oct 5, 2025 Accepting new patients
Kim O Nguyen O D Inc Optometrist CurrentSince Dec 30, 2014 Accepting new patients

Locations

25401 Alicia Pkwy
Ste E
Laguna Hills, CA 92653
Phone (949) 697-8613

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1760534267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25401 ALICIA PKWY STE E",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534958",
            "telephone_number": "949-951-8001",
            "fax_number": "949-951-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25401 ALICIA PKWY",
            "address_2": "SUITE E",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534958",
            "telephone_number": "949-951-8001",
            "fax_number": "949-951-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KIM",
        "middle_name": "OANH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CB228573",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "VU",
            "middle_name": "OANH",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.