Individual provider Active NPI

Kiana Jia Xin Cheung, OD

  • Optometrist
  • San Leandro, CA
National Provider Identifier
1013893973
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT36094TLG Issued in CA
Practice address
117 Pelton Center Way
San Leandro, CA 94577-4815
Phone
(510) 895-2116
NPI assigned
Aug 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT36094TLG CA Primary

Addresses

Primary practice location

117 Pelton Center Way
San Leandro, CA 94577-4815

Mailing address

4161 Lowry Rd
Fremont, CA 94555-1103

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
I20251030001944 CA Practitioner - Optometry 0547759490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cindy H Tran OD a Professional Optometric CorporationGroup PAC ID 7517180375, 4 clinicians

Practice addresses (Care Compare)

596 E El Camino Real
Suite 2
Sunnyvale, CA 94087-8129
Phone (408) 245-6212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT36094TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cindy H. Tran, OD, a Professional Optometric Corporation Optometrist CurrentSince Oct 2, 2025 Accepting new patients

Locations

596 E El Camino Real
Ste 2
Sunnyvale, CA 94087
Phone (408) 245-6212

Organizations & group practices 1

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": "1755129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1013893973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 LOWRY RD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945551103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 PELTON CENTER WAY",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774815",
            "telephone_number": "510-895-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEUNG",
        "first_name": "KIANA",
        "middle_name": "JIA XIN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT36094TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.