NICOLE PHAM NGUYEN OD
NPI 1023787249
Optometrist in Los Angeles, CA
About Nicole Pham Nguyen Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE PHAM NGUYEN OD (NPI 1023787249) is an individual optometrist in Los Angeles, California, licensed in California (34968) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicole Pham Nguyen Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nicole Nguyen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90027
- Reassigned Medicare billing, California enrollment
- 20 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nicole Nguyen's NPI number?
The NPI number for Nicole Nguyen is 1023787249. It was assigned to this individual provider in the NPPES registry on September 10, 2021.
Where is Nicole Nguyen located?
Nicole Nguyen practices at 317 N Larchmont Blvd, Los Angeles, CA 90004. The listed phone number is (323) 465-9682.
What is Nicole Nguyen's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Nicole Nguyen enrolled in Medicare?
Yes. Nicole Nguyen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nicole Nguyen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Nguyen reassigns Medicare benefits to Cha Medical And Surgical Group, PC (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Nguyen accept?
Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Nicole Nguyen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Nicole Nguyen was last updated on April 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nicole Pham Nguyen, OD · NPI 1023787249
Optometrist provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since September 10, 2021.
## Identity
- **NPI:** 1023787249 (Entity type: Individual)
- **Enumerated:** September 10, 2021
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 34968 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 317 N LARCHMONT BLVD, Los Angeles, CA 90004-3011
- **Phone:** (323) 465-9682
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Cha Medical And Surgical Group, PC (NPI 1194209254, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 6, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1023787249) · Data from the CMS NPPES public registry.