Active NPI
Darren Jonathan NG, O.D.
- Optometrist
- Hercules, CA
National Provider Identifier
1164612156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 13319T
- Practice address
- 3700 San Pablo Ave
Suite B5
Hercules, CA 94547-3968 - Phone
- (510) 741-9900
- NPI assigned
- Jul 26, 2007
- Last updated
- Jun 24, 2024
- Sex
- Male
- 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 | 13319T | CA | Primary |
Addresses
Primary practice location
3700 San Pablo Ave
Suite B5
Hercules, CA 94547-3968
Mailing address
3700 San Pablo Ave
Suite B5
Hercules, CA 94547-3968
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
- University of California - School of Optometry, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3700 San Pablo Ave
Suite 5
Hercules, CA 94547-3968
Phone (510) 741-9900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13319T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insight Optometry | Optometrist | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Hercules, CA
- NPI 1851568729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1164612156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 SAN PABLO AVE",
"address_2": "SUITE B5",
"city": "HERCULES",
"state": "CA",
"postal_code": "945473968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 SAN PABLO AVE",
"address_2": "SUITE B5",
"city": "HERCULES",
"state": "CA",
"postal_code": "945473968",
"telephone_number": "510-741-9900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NG",
"first_name": "DARREN",
"middle_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-26",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "13319T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hercules, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.