Active NPI
Jaime Chan, O.D.
- Optometrist
- South Pasadena, CA
National Provider Identifier
1114374220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 34186
- Practice address
- 1024 Mission St Ste B
South Pasadena, CA 91030-3198 - Phone
- (626) 460-6022
- NPI assigned
- May 18, 2016
- 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 | 34186 | CA | Primary |
Addresses
Primary practice location
1024 Mission St Ste B
South Pasadena, CA 91030-3198
Mailing address
1024 Mission St Ste B
South Pasadena, CA 91030-3198
Phone (626) 460-6022
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1024 Mission St
Suite B
South Pasadena, CA 91030-3198
Phone (626) 460-6022
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hripsime Shirvanian, O.D., Optometry, Inc. | Optometrist | Current | Accepting new patients |
| Heights Opticians | Past | Accepting new patients | |
| Optikos | Optometrist | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba Oculus Optometry
- Optometrist
- South Pasadena, CA
- NPI 1356808364
-
dba Oculus Optometry
- Optometrist
- South Pasadena, CA
- NPI 1720423890
-
- Durable Medical Equipment & Medical Supplies
- Brooklyn, NY
- NPI 1760550982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1114374220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1024 MISSION ST STE B",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910303198",
"telephone_number": "626-460-6022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1024 MISSION ST STE B",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910303198",
"telephone_number": "626-460-6022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "JAIME",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-18",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "34186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.