Jeanette Elaine Tang, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 11837TPA Issued in CA

Practice address

11550 Indian Hills Rd
Suite 341
Mission Hills, CA 91345-1200

Phone

(818) 365-0606

Fax

(818) 898-0205

NPI assigned

May 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

New England College of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Valley Eye Medical Group IncGroup PAC ID 2062417504, 3 clinicians

Azul Vision IncGroup PAC ID 2264851740, 49 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: jeanette.tang.p1@direct.atlantiseyecare.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jtang@californiaeye.intellechartdirect.net

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.

• Azul Vision Inc.

  • Ophthalmology Physician
  • Pasadena, CA
  • NPI 1285247528

  Optometrist

  Medicare reassignment Care Compare group NPD
• North Valley Eye Medical Group, Inc.

  • Ophthalmology Physician
  • Mission Hills, CA
  • NPI 1326099680
  Medicare reassignment Care Compare group NPD
• California Eye Specialists Medical Group, Inc

  • Specialist
  • Pasadena, CA
  • NPI 1699713099
  NPD
• Eyecare Specialists Medical Group, Inc

  • Ophthalmology Physician
  • Anaheim, CA
  • NPI 1437181930

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1053363937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14726 RAMONA AVE STE 203",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105730",
            "telephone_number": "626-305-9100",
            "fax_number": "626-305-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS RD",
            "address_2": "SUITE 341",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451200",
            "telephone_number": "818-365-0606",
            "fax_number": "818-898-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "JEANETTE",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 11837TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anjali A Takyar, D.O.
• Kenneth K Tam, M.D.
• Ellen Irma Tamagna, MD
• Pierre Tamer, MD
• Adam Ching Tanaka, MD, MPH, MS
• Luz Rubyrose Lacson Tapnio, RPT.
• James Roger Tashiro, MD.
• Sarah Taylor, CRC, SUDCC II, MRAS
• Aline Arpy Tchorbajian
• Tam Thi Duc Te, MD.

• Optometrist in Mission Hills, CA
• Providers in Mission Hills, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.