Chan Nhu Diep, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14049 Issued in CA

Practice address

11540 Santa Monica Blvd Ste 202
Los Angeles, CA 90025

Phone

(310) 473-5464

Fax

(310) 473-2536

NPI assigned

Nov 5, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

University of California - School of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chan Diep OD Inc

  dba Leaf Optometry

  • Optometrist
  • Manhattan Beach, CA
  • NPI 1972272367
  Medicare reassignment NPD Authorized official
• Carolyn Marie Wong, O.D.

  • Optometrist
  • Los Angeles, CA
  • NPI 1306971429
  Medicare reassignment
• Dr. Carolyn Wong

  • Optometrist
  • Los Angeles, CA
  • NPI 1710137708
  NPD (past)
• Advance Sight Eyecare Medical PC

  • Ophthalmology Physician
  • New York, NY
  • NPI 1336454495
  NPD (past)

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1073814174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11540 SANTA MONICA BLVD STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257905",
            "telephone_number": "310-473-5464",
            "fax_number": "310-473-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11540 SANTA MONICA BLVD STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90025",
            "telephone_number": "310-473-5464",
            "fax_number": "310-473-2536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "128 Mott St",
            "address_2": "Suite 303",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100135540",
            "country_code": "US",
            "telephone_number": "212-966-7583",
            "fax_number": "212-966-7582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIEP",
        "first_name": "CHAN",
        "middle_name": "NHU",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-05",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007640",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline K Diehl, PHD
• Mesa Diehl
• Tina Lee Diehl, O.D
• Elodi Joy Dielubanza, M.D.
• Francine Susanna Diemer
• Chin Khieng Diep, LCSW
• Irene Diep, OD
• Jason DO Diep, DMD
• John Diep, M.D.
• Judy Diep, RN

• Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; 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.