Jasmine Huanjing Chen O.D. a Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

15252TLG Issued in CA

Legal business name

JASMINE HUANJING CHEN O.D. A PROFESSIONAL CORPORATION

Practice address

208 Vintage Way
Suite K21
Novato, CA 94945-5014

Phone

(415) 897-3377

NPI assigned

Apr 27, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Huanjing Chen, O.D.NPI 1518377787

Title

Owner

Phone

(415) 897-3377

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Huanjing Chen, O.D.

  • Optometrist
  • Novato, CA
  • NPI 1518377787
  Medicare reassignment NPD Authorized official
• Chris Y Kim, DO

  • Optician
  • Novato, CA
  • NPI 1376178327
  NPD (past)

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1285169169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 VINTAGE WAY",
            "address_2": "SUITE K21",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455014",
            "telephone_number": "415-897-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 VINTAGE WAY",
            "address_2": "SUITE K21",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455014",
            "telephone_number": "415-897-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASMINE HUANJING CHEN O.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "HUANJING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-897-3377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15252TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob R Adams DO Inc
• Moses Jacob, DC
• Deborah Jacobs, P.T.
• Neha Jain
• Lora James, DPT
• Jennifer I. Dole DDS Inc
• Deonna Donnyell Jennings
• Leann Kay Jensen, P.T.
• Rebecca Nicoll Jensen, OTR CHT
• Deborah Ann Jernberg

• Optometrist in Novato, CA
• Providers in Novato, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.