Individual provider Active NPI

Peony Crystal Tam-Suarez, O.D.

  • Optometrist
  • La Canada, CA
National Provider Identifier
1053740225
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15089 Issued in CA
Practice address
1419 Foothill Blvd
La Canada, CA 91011-2108
Phone
(818) 790-0422
Fax
(818) 790-0484
NPI assigned
Nov 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 15089 CA Primary

Addresses

Primary practice location

1419 Foothill Blvd
La Canada, CA 91011-2108

Mailing address

1419 Foothill Blvd
La Canada, CA 91011-2108
Phone (818) 790-0422

Other names 1

  • Peony Tam Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE)

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
I20171205000966 CA Practitioner - Optometry 4789900978 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tony Chahine OD Inc ApcGroup PAC ID 5799800249, 3 clinicians

Practice addresses (Care Compare)

1419 Foothill Blvd
La Canada, CA 91011-2108
Phone (818) 790-0422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc CurrentSince Dec 13, 2021 Accepting new patients
Permanente Medical Group, Inc CurrentSince Dec 13, 2021 Accepting new patients
Tony Chahine, O.D., Inc., Apc Optometrist CurrentSince Mar 22, 2025 Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network CurrentSince Nov 22, 2017 Accepting new patients
Permanente Medical Group Inc Current Accepting new patients
Family Healthcare Network CurrentSince Nov 22, 2017 Accepting new patients
Nancy Chen, M.D., Inc. Past Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

7300 N Fresno St
Fresno, CA 93720
Phone (207) 448-4500

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

250 W 5th St
Hanford, CA 93230
Phone (559) 300-2686

1419 Foothill Blvd
La Canada Flintridge, CA 91011
Phone (818) 790-0422

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

501 N Bridge St
Visalia, CA 93291
Phone (559) 734-1939

305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Organizations & group practices 8

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": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1053740225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 FOOTHILL BLVD",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910112108",
            "telephone_number": "818-790-0422",
            "fax_number": "818-790-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 FOOTHILL BLVD",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910112108",
            "telephone_number": "818-790-0422",
            "fax_number": "818-790-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAM-SUAREZ",
        "first_name": "PEONY",
        "middle_name": "CRYSTAL",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "7300 N Fresno St",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937202941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PEONY",
            "last_name": "TAM",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in La Canada, CA

Sources for this page

Verify at the official NPI Registry.