Individual provider Active NPI

Brian Jonathan Nguyen, MD

  • Ophthalmology Physician
  • Valencia, CA
National Provider Identifier
1912469792
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MT221626 Issued in PA
Practice address
27420 Tourney Rd Ste 100
Valencia, CA 91355-5631
Phone
(661) 259-3937
Fax
(661) 259-3904
NPI assigned
Apr 2, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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 MT221626 PA Primary

Addresses

Primary practice location

27420 Tourney Rd Ste 100
Valencia, CA 91355-5631

Mailing address

27420 Tourney Rd Ste 100
Valencia, CA 91355-5631
Phone (661) 259-3937

Other identifiers 1

IdentifierTypeStateIssuer
MT221626MedicaidPA

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
I20230705001143 CA Practitioner - Ophthalmology 1759616659 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid Peninsula Eye Physicians and Surgeons Medical GroupGroup PAC ID 2163573437, 6 clinicians

Practice addresses (Care Compare)

50 S San Mateo Dr
Suite 200
San Mateo, CA 94401-3859
Phone (650) 342-4595

Hospital & facility affiliations

  • Peninsula Medical Center Hospital, Burlingame, CA, CCN 050007

Merit-based Incentive Payment System (MIPS)

Final score
84.56 of 100Reported as group
Quality
81.47
Promoting interoperability
100
Improvement activities
40
Cost
67.05

Merit-based Incentive Payment System (MIPS)

Final score
82.12 of 100Reported as group
Quality
96.62
Improvement activities
40
Cost
42.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery60

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT221626PAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Peninsula Eye Physicians & Surgeons Medical Group Ophthalmology CurrentSince Nov 12, 2024 Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients

Locations

50 S San Mateo Dr
Ste 200
San Mateo, CA 94401
Phone (650) 342-4595

Interoperability endpoints

  • Direct secure messaging: bnguyen706068@hisp.ehr.sutterhealth.org

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.

Hospital & facility affiliations 2

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": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1912469792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27420 TOURNEY RD STE 100",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555631",
            "telephone_number": "661-259-3937",
            "fax_number": "661-259-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27420 TOURNEY RD STE 100",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555631",
            "telephone_number": "661-259-3937",
            "fax_number": "661-259-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "BRIAN",
        "middle_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-02",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MT221626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MT221626",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.