Active NPI
Demi Kim Hoang, OD
- Optometrist
- Fullerton, CA
National Provider Identifier
1295571909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 35775
- Practice address
- 1001 Starbuck St Apt D302
Fullerton, CA 92833-5681 - Phone
- (713) 839-6072
- NPI assigned
- Jul 2, 2024
- 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 | 35775 | CA | Primary |
Addresses
Primary practice location
1001 Starbuck St Apt D302
Fullerton, CA 92833-5681
Mailing address
1001 Starbuck St Apt D302
Fullerton, CA 92833-5681
Phone (713) 839-6072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250114003331 | CA | Order and Referring Only - Optometry | 7416485784 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35775 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1295571909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 STARBUCK ST APT D302",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928335681",
"telephone_number": "713-839-6072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 STARBUCK ST APT D302",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928335681",
"telephone_number": "713-839-6072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOANG",
"first_name": "DEMI",
"middle_name": "KIM",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-02",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "35775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.