Individual provider Active NPI

Thuvan Nguyen, OD

  • Optometrist
  • Oakland, CA
National Provider Identifier
1932084415
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
36005 Issued in CA
Practice address
5321 College Ave
Oakland, CA 94618-1416
Phone
(510) 655-3797
NPI assigned
Aug 6, 2025
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 36005 CA Primary

Addresses

Primary practice location

5321 College Ave
Oakland, CA 94618-1416

Mailing address

PO Box 8642
Emeryville, CA 94662-0642

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
I20251209003517 CA Practitioner - Optometry 3779077540 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16163 Via Sonora
San Lorenzo, CA 94580-2148

1930 Jeanette Dr
Pleasant Hill, CA 94523-2821

PO Box
Suite 8642
Emeryville, CA 94662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36005CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sakai and Junge Optometry Corp. Optometrist CurrentSince Dec 8, 2025 Accepting new patients

Locations

5321 College Ave
Oakland, CA 94618
Phone (510) 655-3701

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1932084415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8642",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946620642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 COLLEGE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181416",
            "telephone_number": "510-655-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THUVAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "36005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.