Individual provider Active NPI

Kenneth Ong Cao, OD

  • Optometrist
  • Rosemead, CA
National Provider Identifier
1124515309
Registry record updated Feb 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34145TLG Issued in CA
Practice address
9212 Valley Blvd
Rosemead, CA 91770-1900
Phone
(626) 288-2308
NPI assigned
Apr 13, 2018
Last updated
Feb 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34145TLG CA Primary

Addresses

Primary practice location

9212 Valley Blvd
Rosemead, CA 91770-1900

Mailing address

9212 Valley Blvd
Rosemead, CA 91770-1900
Phone (626) 288-2308

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200603002234 CA Practitioner - Optometry 6002237815 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34145CAMDChiropractor
34145TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eng Medical Associates CurrentSince May 29, 2020 Accepting new patients
Mark Kislinger M.D., Inc. PastSince Jun 7, 2020 Accepting new patients
Katie W. Chu, O.D., Inc. Optometrist Past Accepting new patients

Locations

850 S Atlantic Blvd
Ste 301
Monterey Park, CA 91754
Phone (626) 289-7699

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771113600000",
    "number": "1124515309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9212 VALLEY BLVD",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701900",
            "telephone_number": "626-288-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9212 VALLEY BLVD",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701900",
            "telephone_number": "626-288-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAO",
        "first_name": "KENNETH",
        "middle_name": "ONG",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-13",
        "last_updated": "2026-02-15",
        "certification_date": "2026-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34145TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

Verify at the official NPI Registry.