Individual provider Active NPI

Ashley Tang, OD

  • Optometrist
  • Vista, CA
National Provider Identifier
1043798622
Registry record updated Dec 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33981TLG Issued in CA
Practice address
2067 W Vista Way Ste 120
Vista, CA 92083-6032
Phone
(760) 758-2020
NPI assigned
Aug 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33981TLG CA Primary

Addresses

Primary practice location

2067 W Vista Way Ste 120
Vista, CA 92083-6032

Mailing address

13349 Sparren Ave
San Diego, CA 92129-2338
Phone (619) 559-5549

Other practice location 1

1947 Fern St Ste 3
San Diego, CA 92102-1137
Phone (619) 233-6183

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
I20190607002544 CA Practitioner - Optometry 5991038804 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33981TLGCAMDOptometrist
33981CAMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tang & Giang OD, Inc. Optometrist CurrentSince Mar 28, 2024 Accepting new patients

Locations

3145 Rosecrans St
Ste C
San Diego, CA 92110
Phone (619) 224-2973

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ashley.tang@uprisedirect.com

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": "1533427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608940800000",
    "number": "1043798622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13349 SPARREN AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292338",
            "telephone_number": "619-559-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2067 W VISTA WAY STE 120",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836032",
            "telephone_number": "760-758-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1947 Fern St Ste 3",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921021137",
            "country_code": "US",
            "telephone_number": "619-233-6183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANG",
        "first_name": "ASHLEY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-05",
        "last_updated": "2020-12-26",
        "certification_date": "2020-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33981TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.