Active NPI
Nelson N. Noguchi, M.D.
- Ophthalmology Physician
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G45971
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G459710 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 65 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G45971 | CA | MD | Ophthalmology Physician |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manuel E Sipowicz MD Inc Et Al PTR Cardiovascular Consultants of So Ca | Past | 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.
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Lakewood, CO
- NPI 1831621978
CA
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.
-
- General Acute Care Hospital
- Anaheim, CA
- NPI 1295782381
-
- Cardiovascular Disease Physician
- Anaheim, CA
- NPI 1669463998
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.