Individual provider Active NPI

Ann My Nguyen, O.D.

  • Optometrist
  • San Francisco, CA
National Provider Identifier
1972727683
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12456 Issued in CA
Practice address
360 Post St Ste 1005
San Francisco, CA 94108-4913
Phone
(415) 982-2020
Fax
(415) 982-2011
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007140-1 NY
Optometrist 152W00000X 12456 CA Primary

Addresses

Primary practice location

360 Post St Ste 1005
San Francisco, CA 94108-4913

Mailing address

62 Grand Central Terminal
New York, NY 10017-5622
Phone (212) 599-1220

Other practice location 1

62 Grand Central Terminal
New York, NY 10017-5622
Phone (212) 599-1220

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
I20050329001059 CA Practitioner - Optometry 8628024031 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007140-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
First Optometric Care of Northern California PC Optometrist CurrentSince Feb 6, 2021 Accepting new patients
Kevin Tan, MD and Productions, Inc CurrentSince Mar 7, 2022 Accepting new patients
First Optometric Care of Northern California PC Optometrist CurrentSince Feb 6, 2021 Accepting new patients
First Optometric Care of Northern California PC Optometrist Current Accepting new patients
Verissa Lam Optometry Corporation Optometrist CurrentSince Feb 2, 2025 Accepting new patients
Krystal Klear Optical Inc. Optometrist PastSince Sep 25, 2017 Accepting new patients
David G Kirschen OD PHD a Professional Optometric Corp Optometrist PastSince Feb 15, 2018 Accepting new patients
Epic Medical Group,Inc Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
First Optometric Care of Northern California PC Optometrist Past Accepting new patients

Locations

725 University Ave
Palo Alto, CA 94301
Phone (650) 321-2015

270 University Ave
Palo Alto, CA 94301
Phone (415) 399-1773

303 Twin Dolphin Dr
Ste 122
Redwood City, CA 94065
Phone (650) 551-9111

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

5777 Greenback Ln
Ste 100
Sacramento, CA 95841
Phone (916) 231-0034

595 Buckingham Way
Ste 448
San Francisco, CA 94132
Phone (415) 564-1060

3251 20th Ave
Ste 219
San Francisco, CA 94132
Phone (415) 566-9199

360 Post St
Ste 1005
San Francisco, CA 94108
Phone (415) 982-2020

100 Battery St
San Francisco, CA 94111
Phone (415) 399-1473

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7032/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1972727683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 GRAND CENTRAL TERMINAL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175622",
            "telephone_number": "212-599-1220",
            "fax_number": "212-687-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 POST ST STE 1005",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084913",
            "telephone_number": "415-982-2020",
            "fax_number": "415-982-2011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "62 Grand Central Terminal",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100175622",
            "country_code": "US",
            "telephone_number": "212-599-1220",
            "fax_number": "212-687-5414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ANN",
        "middle_name": "MY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007140-1",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.