Individual provider Active NPI

Nhi T Nguyen, O.D.

  • Optometrist
  • Corona, CA
National Provider Identifier
1841785326
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33954 Issued in CA
Practice address
2620 Tuscany St Ste 103
Corona, CA 92881-4646
Phone
(951) 372-9623
NPI assigned
Jun 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33954 CA Primary

Addresses

Primary practice location

2620 Tuscany St Ste 103
Corona, CA 92881-4646

Mailing address

3300 E Palm Dr
Apt 432
Fullerton, CA 92831-1736
Phone (714) 487-8587

Other practice location 1

1 Mills Cir Ste 516
Ontario, CA 91764-5211
Phone (909) 484-9030

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
I20191121002383 CA Practitioner - Optometry 2668804147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wayne H Martin MD IncGroup PAC ID 0042113375, 3 clinicians

Practice addresses (Care Compare)

1111 Grand Ave
Suite a
Diamond Bar, CA 91765-2230
Phone (909) 860-6768

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
88.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne H. Martin, M.D., Inc. CurrentSince Sep 23, 2019 Accepting new patients
Primecare Medical Group Past Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients

Locations

5343 Riverside Dr
Chino, CA 91710
Phone (909) 364-0308

1111 Grand Ave
Ste A
Diamond Bar, CA 91765
Phone (909) 860-6768

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nnguyen@wmartin.intellechartdirect.net

Organizations & group practices 3

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": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1841785326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 E PALM DR",
            "address_2": "APT 432",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928311736",
            "telephone_number": "714-487-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 TUSCANY ST STE 103",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928814646",
            "telephone_number": "951-372-9623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Mills Cir Ste 516",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917645211",
            "country_code": "US",
            "telephone_number": "909-484-9030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "NHI",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.