Individual provider Active NPI

Christine Jiang Min

  • Optometrist
  • Bell Gardens, CA
National Provider Identifier
1265062590
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34518 Issued in CA
Practice address
6501 Garfield Ave
Bell Gardens, CA 90201-1805
Phone
(562) 928-9600
NPI assigned
Jan 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34518 CA Primary

Addresses

Primary practice location

6501 Garfield Ave
Bell Gardens, CA 90201-1805

Mailing address

16005 La Monde St
Hacienda Heights, CA 91745-4229
Phone (626) 678-7248

Other practice location 1

1850 N Riverside Ave
Rialto, CA 92376-8071
Phone (909) 875-1144

Other practice location 2

16005 La Monde St
Hacienda Heights, CA 91745-4229
Phone (626) 678-7248

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200803000799 CA Practitioner - Optometry 9739504150 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Third Optometric Care of California Optometrist Current Accepting new patients
Third Optometric Care of California Optometrist CurrentSince Jul 30, 2021 Accepting new patients
Third Optometric Care of California PC Optometrist CurrentSince Jul 30, 2021 Accepting new patients
Blackstone Optometry Optometrist PastSince Jul 1, 2020 Accepting new patients

Locations

1850 N Riverside Ave
Ste 220
Rialto, CA 92376
Phone (909) 421-3003

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: christine.min.p1@direct.fhccgla.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1265062590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16005 LA MONDE ST",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917454229",
            "telephone_number": "626-678-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 GARFIELD AVE",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902011805",
            "telephone_number": "562-928-9600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 N Riverside Ave",
            "address_purpose": "LOCATION",
            "city": "Rialto",
            "state": "CA",
            "postal_code": "923768071",
            "country_code": "US",
            "telephone_number": "909-875-1144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16005 La Monde St",
            "address_purpose": "LOCATION",
            "city": "Hacienda Heights",
            "state": "CA",
            "postal_code": "917454229",
            "country_code": "US",
            "telephone_number": "626-678-7248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIN",
        "first_name": "CHRISTINE",
        "middle_name": "JIANG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-26",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bell Gardens, CA

Sources for this page

Verify at the official NPI Registry.