NPIMap

Individual provider Active NPI

Kate Chenlu Xie

  • Ophthalmology Physician
  • Orange, CA
National Provider Identifier
1124415187
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
S1305 Issued in TX
Practice address
101 The City Dr S Ste 400
Orange, CA 92868-3201
Phone
(714) 456-6693
NPI assigned
Apr 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A145872 CA
Ophthalmology Physician 207W00000X S1305 TX Primary

Addresses

Primary practice location

101 The City Dr S Ste 400
Orange, CA 92868-3201

Mailing address

101 The City Dr S Ste 400
Orange, CA 92868-3201

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kxie32915@bcm.ghhdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200910002930 CA Practitioner - Ophthalmology 0749553618 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, Irvine, California College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakewood Eye Physicians and Surgeons Inc a Medical GroupGroup PAC ID 4789647983, shared by 3 NPIs, 8 clinicians

Practice addresses (Care Compare)

3300 E S St
Suite 105
Lakewood, CA 90805-4579
Phone (562) 232-1442

Hospital & facility affiliations

  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery95

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A145872CAMDOphthalmology Physician
S1305TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Eye Physicians and Surgeons Inc a Medical Group CurrentSince Feb 21, 2022 Accepting new patients
Lakewood Eye Physicians and Surgeons Inc a Medical Group CurrentSince Feb 21, 2022 Accepting new patients
Dignity Health Past Accepting new patients
University of California Irvine Past Accepting new patients
Harris County Hospital District Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
CHI St. Luke'S Health Baylor College of Medicine Medical Center Past Accepting new patients
Lakewood Eye Physicians and Surgeons Inc a Medical Group Past Accepting new patients

Locations

3300 E South St
Lakewood, CA 90805
Phone (562) 232-1144

3300 E South St
#107
Lakewood, CA 90805
Phone (562) 531-2020

3300 E South St
Ste 105
Lakewood, CA 90805
Phone (562) 232-1442

3300 E South St
Ste 107
Lakewood, CA 90805
Phone (562) 531-2020

3801 Katella Ave
Ste 130
Los Alamitos, CA 90720
Phone (562) 430-3561

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kate.xie.p1@direct.atlantiseyecare.nextgenshare.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1124415187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S STE 400",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S STE 400",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683201",
            "telephone_number": "714-456-6693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIE",
        "first_name": "KATE",
        "middle_name": "CHENLU",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A145872",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "S1305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kxie32915@bcm.ghhdirect.net",
            "affiliation": "N",
            "address_1": "1977 Butler Blvd Fl 2",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770304101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.