Individual provider Active NPI

Christina Nguyen Deane, O.D.

  • Optometrist
  • San Jose, CA
National Provider Identifier
1891796629
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT10150T Issued in CA
Practice address
220 Meridian Ave
San Jose, CA 95126-2903
Phone
(408) 869-3400
Fax
(408) 998-1289
NPI assigned
Aug 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT10150T CA Primary

Addresses

Primary practice location

220 Meridian Ave
San Jose, CA 95126-2903

Mailing address

220 Meridian Ave
San Jose, CA 95126-2903
Phone (408) 869-3400

Other identifiers 1

IdentifierTypeStateIssuer
SD0101500OtherTXMEDICARE ID

Other names 1

  • Dr. Christina Ho-Diep Nguyen Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cdeane@bdhealth.intellechartdirect.net

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
I20100625000772 CA Practitioner - Optometry 5395876916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BDHV Medical Group of California PCGroup PAC ID 1850658428, 5 clinicians

Practice addresses (Care Compare)

220 Meridian Ave
San Jose, CA 95126-2903
Phone (408) 869-3400

Merit-based Incentive Payment System (MIPS)

Final score
90.76 of 100Reported as group
Quality
94.46
Improvement activities
40
Cost
76.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT10150TCAMDOptometrist
10150CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BDHV Medical Group of California, PC Current Accepting new patients
BDHV Medical Group of California, PC CurrentSince Nov 1, 2017 Accepting new patients
County of Santa Clara Past Accepting new patients
Cedar Park Eye Care PA Optometrist Past Accepting new patients

Locations

220 Meridian Ave
San Jose, CA 95126
Phone (408) 869-3400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: cdeane@bdhealth.intellechartdirect.net

Organizations & group practices 4

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1891796629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 MERIDIAN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262903",
            "telephone_number": "408-869-3400",
            "fax_number": "408-998-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MERIDIAN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262903",
            "telephone_number": "408-869-3400",
            "fax_number": "408-998-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANE",
        "first_name": "CHRISTINA",
        "middle_name": "NGUYEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT10150T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "SD0101500",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdeane@bdhealth.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "220 Meridian Ave",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951262903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "NGUYEN",
            "middle_name": "HO-DIEP",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.