Organization Active NPI

Cuong-Dung DO, M.D., Inc

  • Ophthalmology Physician
  • Westminster, CA
National Provider Identifier
1992816268
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G83887 Issued in CA
Legal business name
CUONG-DUNG DO, M.D., INC
Practice address
9061 Bolsa Ave Ste 105
Westminster, CA 92683-5558
Phone
(714) 899-5670
Fax
(714) 899-5558
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Authorized official

Name
Cuong-Dung Trong DO, M.D.NPI 1477574200
Title
President
Phone
(714) 899-5670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G83887 CA Primary

Addresses

Primary practice location

9061 Bolsa Ave Ste 105
Westminster, CA 92683-5558

Mailing address

9061 Bolsa Ave Ste 105
Westminster, CA 92683-5558
Phone (714) 899-5670

Other identifiers 1

IdentifierTypeStateIssuer
00G838870MedicaidCA

Other names 1

  • Cuong-Dung Do, M.D., Inc. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930042319 CA DME Supplier - Physician - Ophthalmology 5395951081 Practice locations: Westminster, CA
O20101101001136 CA Part B Supplier - Clinic/Group Practice 5395951081 Receives reassigned benefits from 2 practitioners
Practice locations: Westminster, CA

National Provider Directory

National Provider Directory

Locations

9061 Bolsa Ave
Ste 105
Westminster, CA 92683
Phone (714) 899-5670

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1992816268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9061 BOLSA AVE STE 105",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835558",
            "telephone_number": "714-899-5670",
            "fax_number": "714-899-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9061 BOLSA AVE STE 105",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835558",
            "telephone_number": "714-899-5670",
            "fax_number": "714-899-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUONG-DUNG DO, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "CUONG-DUNG",
        "authorized_official_middle_name": "TRONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-899-5670",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G83887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G838870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cuong-Dung Do, M.D., Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.