Healthcare Provider Details

I. General information

NPI: 1942104146
Provider Name (Legal Business Name): BARBARA NGUYEN P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

769 HICKEY BLVD
PACIFICA CA
94044-1214
US

IV. Provider business mailing address

2025 NOTRE DAME AVE
BELMONT CA
94002-1750
US

V. Phone/Fax

Practice location:
  • Phone: 650-738-2205
  • Fax:
Mailing address:
  • Phone: 415-505-2502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number StateNULL

VIII. Authorized Official

Name: BARBARA-DINH NGUYEN
Title or Position: OPTOMETRY/OWNER
Credential: OD
Phone: 415-505-2502