Active NPI
Chau H Trang, O.D.
- Optometrist
- San Diego, CA
National Provider Identifier
1073671087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9556T
- Practice address
- 2354 Ulric St
Suite B
San Diego, CA 92111-6400 - Phone
- (858) 495-0592
- Fax
- (858) 495-0560
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9556T | CA | Primary |
Addresses
Primary practice location
2354 Ulric St
Suite B
San Diego, CA 92111-6400
Mailing address
2354 Ulric St
Suite B
San Diego, CA 92111-6400
Phone (858) 495-0592
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0095560 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120327000299 | CA | Practitioner - Optometry | 0143480384 | Practice locations: San Diego, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9556T | CA | MD | Optometrist |
| 9556 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073671087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2354 ULRIC ST",
"address_2": "SUITE B",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921116400",
"telephone_number": "858-495-0592",
"fax_number": "858-495-0560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2354 ULRIC ST",
"address_2": "SUITE B",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921116400",
"telephone_number": "858-495-0592",
"fax_number": "858-495-0560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRANG",
"first_name": "CHAU",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "9556T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0095560",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- 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.