Individual provider Active NPI

Thi Phuong Thuy Phung

  • Optometrist
  • Sacramento, CA
National Provider Identifier
1922699271
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34765 Issued in CA
Practice address
1689 Arden Way Ste 1091
Sacramento, CA 95815-4096
Phone
(916) 929-5909
NPI assigned
Jan 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34765 CA Primary

Addresses

Primary practice location

1689 Arden Way Ste 1091
Sacramento, CA 95815-4096

Mailing address

2969 Mojave Dr
West Sacramento, CA 95691-5187
Phone (916) 296-0982

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
I20210219001324 CA Practitioner - Optometry 2668887894 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heidi Q T Pham-Murphy ODGroup PAC ID 2264563212, 5 clinicians
Thomas H Murphy OD IncGroup PAC ID 3173678042, 7 clinicians

Practice addresses (Care Compare)

525 Fulton Ave
Suite 300
Sacramento, CA 95825-4889
Phone (916) 925-5151

5500 Sunrise Blvd
Suite 400
Citrus Heights, CA 95610-7643
Phone (916) 726-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34765CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas H Murphy, O.D., Inc. Optometrist Current Accepting new patients
Thomas H Murphy O D Inc Optometrist CurrentSince Feb 2, 2021 Accepting new patients
Thomas H Murphy OD Inc Optometrist CurrentSince Feb 2, 2021 Accepting new patients
Matin Khoshnevis MD Inc Optometrist CurrentSince Jun 8, 2023 Accepting new patients
Heidi Q T Pham-Murphy OD Optometrist CurrentSince Feb 2, 2021 Accepting new patients

Locations

5500 Sunrise Blvd
Ste 400
Citrus Heights, CA 95610
Phone (916) 726-2020

262 Gibson Dr
Ste 130
Roseville, CA 95678
Phone (916) 772-3937

1610 Arden Way
Ste 101
Sacramento, CA 95815
Phone (916) 929-1169

525 Fulton Ave
Ste 300
Sacramento, CA 95825
Phone (916) 925-2020

1689 Arden Way
Ste 1091
Sacramento, CA 95815
Phone (916) 929-1169

5773 Greenback Ln
Sacramento, CA 95841
Phone (916) 863-3143

Interoperability endpoints

  • Direct secure messaging: tphung@directaddress.net

Organizations & group practices 5

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": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1922699271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2969 MOJAVE DR",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956915187",
            "telephone_number": "916-296-0982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1689 ARDEN WAY STE 1091",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154096",
            "telephone_number": "916-929-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHUNG",
        "first_name": "THI PHUONG THUY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.