Active NPI
Rebecca L NG, OD
- Optometrist
- San Clemente, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT5189
- Practice address
- 653 Camino de Los Mares
Suite 107
San Clemente, CA 92673-2808 - Phone
- (949) 489-2218
- Fax
- (949) 496-3604
- NPI assigned
- Dec 4, 2006
- Last updated
- Aug 10, 2012
- Sex
- Female
- Sole proprietor
- No
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 | OPT5189 | CA | Primary |
Addresses
Primary practice location
653 Camino de Los Mares
Suite 107
San Clemente, CA 92673-2808
Mailing address
653 Camino de Los Mares
Suite 107
San Clemente, CA 92673-2808
Phone (949) 489-2218
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410015394 | Other | RAILROAD MEDICARE | |
| SD0051890 | Medicaid | CA |
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
- Other, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
653 Camino de Los Mares
Suite 103
San Clemente, CA 92673-2808
Phone (949) 489-2218
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT5189 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ramin Tayani MD Inc | Current | Accepting new patients | |
| Pasadena Hospital Association, LTD. | Past | Accepting new patients | |
| Thomas S Tooma M D a Professional Corporation | Optometrist | Past | Accepting new patients |
| Jan S Lukac MD Inc | Past | Accepting new patients | |
| Vision Center LP | Past | Accepting new patients |
Locations
380 W Central Ave
Ste 300
Brea, CA 92821
Phone (714) 529-9563
22 Odyssey
Ste 150
Irvine, CA 92618
Phone (949) 733-3390
25200 La Paz Rd
Ste 100
Laguna Hills, CA 92653
25200 La Paz Rd
Laguna Hills, CA 92653
653 Camino de los Mares
Ste 107
San Clemente, CA 92673
Phone (949) 489-2210
653 Camino de los Mares
Ste 103
San Clemente, CA 92673
Phone (949) 485-1333
653 Camino de los Mares
San Clemente, CA 92673
3301 S Harbor Blvd
Ste 104
Santa Ana, CA 92704
Phone (714) 979-2021
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- rebecca.ng.p1@direct.tayani.nextgenshare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Tayani Eye Institute
- Ophthalmology Physician
- San Clemente, CA
- NPI 1841465986
-
- Ophthalmology Physician
- Brea, CA
- NPI 1619964038
-
dba Huntington Hospital
- Psychiatric Hospital Unit
- Pasadena, CA
- NPI 1437121142
-
dba Nvision Eye Centers
- Ophthalmology Physician
- Newport Beach, CA
- NPI 1922129865
Optometrist
-
- Primary Care Clinic/Center
- Santa Ana, CA
- NPI 1942503933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344556800000",
"number": "1235297284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "653 CAMINO DE LOS MARES",
"address_2": "SUITE 107",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926732808",
"telephone_number": "949-489-2218",
"fax_number": "949-496-3604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "653 CAMINO DE LOS MARES",
"address_2": "SUITE 107",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926732808",
"telephone_number": "949-489-2218",
"fax_number": "949-496-3604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NG",
"first_name": "REBECCA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2012-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT5189",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410015394",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0051890",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Clemente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.