Individual provider Active NPI

Jennifer Tran Cheng, O.D.

  • Optometrist
  • San Gabriel, CA
National Provider Identifier
1144606237
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15238 Issued in CA
Practice address
251 W Bencamp St Ste a
San Gabriel, CA 91776-3798
Phone
(626) 282-3163
Fax
(626) 282-2002
NPI assigned
Jul 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 15238 CA Primary

Addresses

Primary practice location

251 W Bencamp St Ste a
San Gabriel, CA 91776-3798

Mailing address

251 W Bencamp St Ste a
San Gabriel, CA 91776-3798
Phone (626) 282-3163

Other practice location 1

13800 San Antonio Dr
Norwalk, CA 90650-4033
Phone (562) 864-6535

Other names 1

  • Dr. Jennifer Tran Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15238CAMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Sight Optometry Corp Optometrist PastSince Apr 26, 2019 Accepting new patients
Paul S. Crismon, O.D. Inc PastSince Nov 29, 2009 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1144606237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 W BENCAMP ST STE A",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763798",
            "telephone_number": "626-282-3163",
            "fax_number": "626-282-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 W BENCAMP ST STE A",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763798",
            "telephone_number": "626-282-3163",
            "fax_number": "626-282-2002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13800 San Antonio Dr",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CA",
            "postal_code": "906504033",
            "country_code": "US",
            "telephone_number": "562-864-6535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHENG",
        "first_name": "JENNIFER",
        "middle_name": "TRAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-31",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "TRAN",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.