Active NPI
Celeste Lien Pinkham, O.D.
- Optometrist
- La Habra, CA
National Provider Identifier
1245373406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT11205TPA
- Practice address
- 601 E Whittier Blvd
Suite 102
La Habra, CA 90631-3972 - Phone
- (562) 697-6733
- Fax
- (562) 697-8303
- NPI assigned
- Feb 15, 2007
- Last updated
- Jul 25, 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 | OPT11205TPA | CA | Primary |
Addresses
Primary practice location
601 E Whittier Blvd
Suite 102
La Habra, CA 90631-3972
Mailing address
601 E Whittier Blvd
Suite 102
La Habra, CA 90631-3972
Phone (562) 697-6733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SC0112050 | 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, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
601 E Whittier Blvd
Suite 102
La Habra, CA 90631-3972
Phone (562) 697-6733
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT11205TPA | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Habra Hills Optometry, Inc. | Optometrist | Current | Accepting new patients |
Locations
601 E Whittier Blvd
Ste 102
La Habra, CA 90631
Phone (562) 697-6733
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- La Habra, CA
- NPI 1255509691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343174400000",
"number": "1245373406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 E WHITTIER BLVD",
"address_2": "SUITE 102",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906313972",
"telephone_number": "562-697-6733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E WHITTIER BLVD",
"address_2": "SUITE 102",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906313972",
"telephone_number": "562-697-6733",
"fax_number": "562-697-8303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINKHAM",
"first_name": "CELESTE",
"middle_name": "LIEN",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2012-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT11205TPA",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SC0112050",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Habra, CA
- Phyllis K. Kawada, DDS, Ms, a Professional Corporation (Center for Pediatric Dentistry Surgery Center)
- Pih Health Physicians
- Pih Health Physicians
- Pih Health Physicians
- Pinales DDS Dental Corp
- Andrea Michelle Popa, LMT
- Mariajose Portilla Mondria, SLPA
- Jennifer Portillo
- Carolina Posada, M.S., CCC-SLP
- Rafael Teovaldo Pou
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.