Individual provider Active NPI

Junyao Xu, OD

  • Optometrist
  • Fontana, CA
National Provider Identifier
1003583063
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34878 Issued in CA
Practice address
8381 Juniper Ave Unit 100
Fontana, CA 92335-3431
Phone
(909) 428-2020
NPI assigned
Aug 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34878 CA Primary

Addresses

Primary practice location

8381 Juniper Ave Unit 100
Fontana, CA 92335-3431

Mailing address

18661 Aguiro St
Rowland Heights, CA 91748-4651

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
I20220914003193 CA Practitioner - Optometry 3678958469 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Vision PCGroup PAC ID 9234472242, 115 clinicians

Practice addresses (Care Compare)

140 W Valley Blvd
Suite 115
San Gabriel, CA 91776-3784
Phone (626) 288-8023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fontana Optometric Group, Inc. Optometrist CurrentSince Oct 13, 2025 Accepting new patients
Golden San Gabriel Optometric Vision Center Optometrist CurrentSince Aug 8, 2022 Accepting new patients
Total Vision PC Optometrist CurrentSince Aug 8, 2022 Accepting new patients
Marina Eyecare Center Optometrist Past Accepting new patients
Steven T Klein OD & Kimberly Plattner OD a Professional Corporation Optometrist Past Accepting new patients
Seal Beach Eyes Optometry Inc Optometrist PastSince Mar 10, 2017 Accepting new patients

Locations

12461 W Washington Blvd
Los Angeles, CA 90066
Phone (310) 390-6287

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

1015 Nogales St
Ste 109
Rowland Hghts, CA 91748
Phone (626) 428-9186

11717 Bernardo Plaza Ct
Ste 105
San Diego, CA 92128
Phone (858) 487-5555

140 W Valley Blvd
Ste 115
San Gabriel, CA 91776
Phone (626) 288-8023

1190 Pacific Coast Hwy
Ste E
Seal Beach, CA 90740
Phone (562) 431-2031

Organizations & group practices 6

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": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1003583063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18661 AGUIRO ST",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917484651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8381 JUNIPER AVE UNIT 100",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353431",
            "telephone_number": "909-428-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "JUNYAO",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

Verify at the official NPI Registry.