Individual provider Active NPI

Cecilla Chiu, OD

  • Optometrist
  • Monterey Park, CA
National Provider Identifier
1023755667
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35597 Issued in CA
Practice address
500 N Atlantic Blvd Ste 151
Monterey Park, CA 91754-7734
Phone
(626) 458-2020
NPI assigned
May 16, 2022
Last updated
Dec 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35597 CA Primary

Addresses

Primary practice location

500 N Atlantic Blvd Ste 151
Monterey Park, CA 91754-7734

Mailing address

950 E 3Rd St Apt 5607
Los Angeles, CA 90013-2717

Other practice location 1

9668 Las Tunas Dr
Temple City, CA 91780-2139
Phone (626) 286-1993

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
I20241213001775 CA Practitioner - Optometry 5395271365 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Jane H Liang OD Inc. Optometrist CurrentSince Sep 15, 2024 Accepting new patients
Dr. Jane H. Liang O.D. Inc Optometrist CurrentSince Sep 15, 2024 Accepting new patients
Sun Sjolund Optometric Corp Optometrist CurrentSince Nov 7, 2025 Accepting new patients
Young's Optometry Arcadia Inc Optometrist PastSince Nov 1, 2023 Accepting new patients

Locations

2115 S Hacienda Blvd
Hacienda Heights, CA 91745
Phone (626) 330-4115

9668 Las Tunas Dr
Temple City, CA 91780
Phone (626) 286-1993

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1023755667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E 3RD ST APT 5607",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900132717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N ATLANTIC BLVD STE 151",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917547734",
            "telephone_number": "626-458-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9668 Las Tunas Dr",
            "address_purpose": "LOCATION",
            "city": "Temple City",
            "state": "CA",
            "postal_code": "917802139",
            "country_code": "US",
            "telephone_number": "626-286-1993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIU",
        "first_name": "CECILLA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.