Individual provider Active NPI

Kim Dinh Sirhan, O.D.

  • Optometrist
  • San Jose, CA
National Provider Identifier
1962496588
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
110500T Issued in CA
Practice address
1652 E Capitol Expy
San Jose, CA 95121-1839
Phone
(408) 528-0991
Fax
(408) 528-0994
NPI assigned
Sep 9, 2005
Reactivated
Apr 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 110500T CA Primary

Addresses

Primary practice location

1652 E Capitol Expy
San Jose, CA 95121-1839

Mailing address

1652 E Capitol Expy
San Jose, CA 95121-1839
Phone (408) 528-0991

Other identifiers 1

IdentifierTypeStateIssuer
SD0110500MedicaidCA

Other names 1

  • Kim-Thanh Thi Dinh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110500TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Minh Nhat Le OD, Inc. Optometrist PastSince Mar 9, 2002 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1962496588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1652 E CAPITOL EXPY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211839",
            "telephone_number": "408-528-0991",
            "fax_number": "408-528-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1652 E CAPITOL EXPY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211839",
            "telephone_number": "408-528-0991",
            "fax_number": "408-528-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRHAN",
        "first_name": "KIM",
        "middle_name": "DINH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-09",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "deactivation_date": "2006-03-25",
        "reactivation_date": "2006-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "110500T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0110500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM-THANH",
            "last_name": "DINH",
            "middle_name": "THI",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.