Active NPI
Christine Yang, O.D.
- Optometrist
- Santa Clara, CA
National Provider Identifier
1235414962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 14271
- Practice address
- 2004 El Camino Real
Santa Clara, CA 95050-4051 - Phone
- (408) 244-2831
- NPI assigned
- Oct 13, 2011
- Sex
- Female
- 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 | 14271 | CA | Primary |
Addresses
Primary practice location
2004 El Camino Real
Santa Clara, CA 95050-4051
Mailing address
39843 San Moreno CT
Fremont, CA 94539-3613
Phone (510) 648-7358
Other practice location 1
3801 E Foothill Blvd
Pasadena, CA 91107-2225
Phone (626) 351-3484
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120625000229 | CA | Practitioner - Optometry | 1658536735 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14271 | CA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Eyewear Supplier
- Kansas City, MO
- NPI 1497412522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668470400000",
"number": "1235414962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39843 SAN MORENO CT",
"city": "FREMONT",
"state": "CA",
"postal_code": "945393613",
"telephone_number": "510-648-7358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2004 EL CAMINO REAL",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950504051",
"telephone_number": "408-244-2831"
}
],
"practiceLocations": [
{
"address_1": "3801 E Foothill Blvd",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911072225",
"country_code": "US",
"telephone_number": "626-351-3484",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YANG",
"first_name": "CHRISTINE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-13",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "14271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.