Individual provider Active NPI

Samuel Huang, O.D.

  • Optometrist
  • Rowland Heights, CA
National Provider Identifier
1295762813
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9013 Issued in CA
Practice address
1015 S Nogales St.
#109
Rowland Heights, CA 91748
Phone
(626) 965-8698
Fax
(626) 965-8697
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9013 CA Primary

Addresses

Primary practice location

1015 S Nogales St.
#109
Rowland Heights, CA 91748

Mailing address

1015 S Nogales St.
#109
Rowland Heights, CA 91748
Phone (626) 965-8698

Other identifiers 1

IdentifierTypeStateIssuer
SD0090130MedicaidCA

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
I20120312000610 CA Practitioner - Optometry 1759273576 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Vision PCGroup PAC ID 9234472242, 115 clinicians

Practice addresses (Care Compare)

1015 Nogales St
Suite 109
Rowland Heights, CA 91748-1309
Phone (626) 965-8698

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9013CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden San Gabriel Optometric Vision Center Optometrist CurrentSince Oct 1, 2001 Accepting new patients
Total Vision PC Optometrist CurrentSince Nov 1, 2021 Accepting new patients
Steven T Klein OD & Kimberly Plattner OD a Professional Corporation Optometrist Past Accepting new patients
Marina Eyecare Center Optometrist Past Accepting new patients

Locations

12461 W Washington Blvd
Los Angeles, CA 90066
Phone (310) 390-6287

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

1015 Nogales St
Ste 109A
Rowland Heights, CA 91748
Phone (626) 965-8698

1015 Nogales St
Ste 109
Rowland Hghts, CA 91748
Phone (626) 428-9186

11717 Bernardo Plaza Ct
Ste 105
San Diego, CA 92128
Phone (858) 487-5555

140 W Valley Blvd
Ste 115
San Gabriel, CA 91776
Phone (626) 288-8023

Organizations & group practices 4

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1295762813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 S NOGALES ST.",
            "address_2": "#109",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "91748",
            "telephone_number": "626-965-8698",
            "fax_number": "626-965-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S NOGALES ST.",
            "address_2": "#109",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "91748",
            "telephone_number": "626-965-8698",
            "fax_number": "626-965-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0090130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowland Heights, CA

Sources for this page

Verify at the official NPI Registry.