Organization Active NPI

Jay Chao O.D. Inc.

  • Pediatric Optometrist
  • Chino, CA
National Provider Identifier
1245827922
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric OptometristTaxonomy code 152WP0200X
Legal business name
JAY CHAO O.D. INC.
Practice address
12530 10TH St Ste a
Chino, CA 91710-3520
Phone
(909) 627-7518
NPI assigned
Dec 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Authorized official

Name
Jay Chao, ODNPI 1134676182
Title
Ceo
Phone
(909) 627-7518

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WP0200X Primary

Addresses

Primary practice location

12530 10TH St Ste a
Chino, CA 91710-3520

Mailing address

12530 10TH St Ste a
Chino, CA 91710-3520
Phone (909) 627-7518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210223002261 CA Part B Supplier - Clinic/Group Practice 7113332297 Receives reassigned benefits from 1 practitioner
Practice locations: Chino, CA

National Provider Directory

National Provider Directory

Locations

12530 10th St
Ste A
Chino, CA 91710
Phone (909) 627-7518

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779408000000",
    "number": "1245827922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12530 10TH ST STE A",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103520",
            "telephone_number": "909-627-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12530 10TH ST STE A",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103520",
            "telephone_number": "909-627-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY CHAO O.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-29",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "CHAO",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-627-7518",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.