Individual provider Active NPI

Nelson N. Noguchi, M.D.

  • Ophthalmology Physician
  • Anaheim, CA
National Provider Identifier
1770685752
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G45971 Issued in CA
Practice address
1211 W la Palma Ave Ste 609
Anaheim, CA 92801-2813
Phone
(714) 635-9347
Fax
(714) 635-2970
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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 G45971 CA Primary

Addresses

Primary practice location

1211 W la Palma Ave Ste 609
Anaheim, CA 92801-2813

Mailing address

1211 W la Palma Ave Ste 609
Anaheim, CA 92801-2813
Phone (714) 635-9347

Other identifiers 1

IdentifierTypeStateIssuer
00G459710MedicaidCA

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
I20101213000776 CA Practitioner - Ophthalmology 2668582578 Receives reassigned benefits from 1 practitioner
Practice locations: Anaheim, CA

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Hawaii John a. Burns School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1211 W la Palma Ave
Suite 609
Anaheim, CA 92801-2813
Phone (714) 635-9347

Hospital & facility affiliations

  • Ahmc Anaheim Regional Medical Center Hospital, Anaheim, CA, CCN 050226

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G45971CAMDOphthalmology Physician

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Manuel E Sipowicz MD Inc Et Al PTR Cardiovascular Consultants of So Ca PastSince Aug 15, 2025 Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1770685752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE STE 609",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012813",
            "telephone_number": "714-635-9347",
            "fax_number": "714-635-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE STE 609",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012813",
            "telephone_number": "714-635-9347",
            "fax_number": "714-635-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOGUCHI",
        "first_name": "NELSON",
        "middle_name": "N.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G45971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G459710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.