Irene Nora Sang, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

8021T Issued in CA

Practice address

729 Mission St Ste 200
South Pasadena, CA 91030-3072

Phone

(626) 441-5300

Fax

(626) 441-2880

NPI assigned

Feb 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• South Pasadena Optometric Group, Inc.

  • Optometrist
  • South Pasadena, CA
  • NPI 1750416566
  Medicare reassignment NPD

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073648861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 MISSION ST STE 200",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303072",
            "telephone_number": "626-441-5300",
            "fax_number": "626-441-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 MISSION ST STE 200",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303072",
            "telephone_number": "626-441-5300",
            "fax_number": "626-441-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANG",
        "first_name": "IRENE",
        "middle_name": "NORA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "8021T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "2535",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICES",
            "identifier": "03072",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACEY MEDICAL GROUP",
            "identifier": "8021",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Roberts Sanders, MA, MFT
• Antonieta Sandoval
• Jacqueline Sandoval
• Liliana Sandoval
• Moises A Sandoval
• Sangrok Corp
• Mark Joseph Santarelli, MA, LMFT
• Sara Santelli, DC
• Carlos Santos
• Gloria Santos, B.A.

• Corneal and Contact Management Optometrist in South Pasadena, CA
• Providers in South Pasadena, CA by specialty
• Corneal and Contact Management Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.