Individual provider Active NPI

Monika Chugh, O.D

  • Optometrist
  • Fremont, CA
National Provider Identifier
1164541959
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11018T Issued in CA
Practice address
39190 Paseo Padre Pkwy
Fremont, CA 94538-1612
Phone
(510) 791-8300
Fax
(510) 791-8303
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11018T CA Primary

Addresses

Primary practice location

39190 Paseo Padre Pkwy
Fremont, CA 94538-1612

Mailing address

39190 Paseo Padre Pkwy
Fremont, CA 94538-1612
Phone (510) 791-8300

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
I20200207000727 CA Practitioner - Optometry 2365878592 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarbjit Singh HundalGroup PAC ID 9537220660, 3 clinicians

Practice addresses (Care Compare)

39263 Mission Blvd
Fremont, CA 94539-3037
Phone (510) 796-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11018TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Stella Levin, O.D. a Professional Corporation Optometrist CurrentSince May 1, 2024 Accepting new patients
Sarbjit Singh Hundal CurrentSince Dec 18, 2019 Accepting new patients
East Bay Eye Centers Medical Corporation Past Accepting new patients
Raymond F Pedersen O.D. Professional Optometrist PastSince May 1, 2016 Accepting new patients
Monika Chugh, OD, Inc. Optometrist Past Accepting new patients

Locations

38069 Martha Ave
Ste 200
Fremont, CA 94536
Phone (510) 791-5272

Organizations & group practices 5

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264118400000",
    "number": "1164541959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39190 PASEO PADRE PKWY",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381612",
            "telephone_number": "510-791-8300",
            "fax_number": "510-791-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39190 PASEO PADRE PKWY",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381612",
            "telephone_number": "510-791-8300",
            "fax_number": "510-791-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUGH",
        "first_name": "MONIKA",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2010-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11018T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.