Individual provider Active NPI

Cynthia Thu Nguyen, O.D,

  • Optometrist
  • Orange, CA
National Provider Identifier
1942339569
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10271T Issued in CA
Practice address
1964 N Tustin St
Orange, CA 92865-3950
Phone
(714) 282-0111
NPI assigned
Mar 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10271T CA Primary

Addresses

Primary practice location

1964 N Tustin St
Orange, CA 92865-3950

Mailing address

1964 N Tustin St
Orange, CA 92865-3950
Phone (714) 282-0111

Other identifiers 1

IdentifierTypeStateIssuer
SD0102710MedicaidCA

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
I20240302000146 CA Practitioner - Optometry 2961847728 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10271TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Alvin Arellano, O.D., Inc. CurrentSince Feb 20, 2024 Accepting new patients
Jimmy K. Lee, M.D. Inc. PastSince Feb 20, 2024 Accepting new patients
Pacific Partners Optometric Group Inc Optometrist Past Accepting new patients
Cynthia T. Nguyen, O.D., Inc. Optometrist Past Accepting new patients

Locations

6200 E Canyon Rim Rd
Ste 101
Anaheim, CA 92807
Phone (714) 998-2020

1909 W Malvern Ave
Fullerton, CA 92833
Phone (714) 992-8020

850 E Chapman Ave
Ste B
Orange, CA 92866
Phone (714) 538-1434

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1942339569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1964 N TUSTIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928653950",
            "telephone_number": "714-282-0111",
            "fax_number": "714-282-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1964 N TUSTIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928653950",
            "telephone_number": "714-282-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CYNTHIA",
        "middle_name": "THU",
        "name_prefix": "Dr.",
        "credential": "O.D,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10271T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0102710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.