Physician Compare National (NPI:1770685752)

HEALTHCARE PROVIDER: NELSON N. NOGUCHI M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1770685752
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2668582578
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101213000776
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NOGUCHI
	Individual professional last name
Provider First Name	NELSON
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1980
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1211 W LA PALMA AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 609
	Group Practice or individual's line 2 address
City	ANAHEIM
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	928012813
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7146359347
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050226
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	AHMC ANAHEIM REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050426
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WEST ANAHEIM MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y