Individual provider Active NPI

Helen Cheng, O.D.

  • Optometrist
  • San Jose, CA
National Provider Identifier
1295967206
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13909 Issued in CA
Practice address
1183 S de Anza Blvd Ste 50
San Jose, CA 95129-3659
Phone
(408) 366-1681
NPI assigned
Aug 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1708 AZ
Optometrist 152W00000X 13909 CA Primary

Addresses

Primary practice location

1183 S de Anza Blvd Ste 50
San Jose, CA 95129-3659

Mailing address

15288 Fruitvale Ave
Saratoga, CA 95070-6272
Phone (408) 621-6368

Other practice location 1

4299 Rosewood Dr Unit 105
Pleasanton, CA 94588-3001
Phone (925) 416-1888

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
I20110606000014 CA Practitioner - Optometry 3870770613 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1183 S de Anza Blvd
Suite 50
San Jose, CA 95129-3659
Phone (408) 366-1681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13909CAMDOptometrist
1708AZMDPhysical Therapist

Organizations & group practices 2

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": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1295967206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15288 FRUITVALE AVE",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950706272",
            "telephone_number": "408-621-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1183 S DE ANZA BLVD STE 50",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293659",
            "telephone_number": "408-366-1681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4299 Rosewood Dr Unit 105",
            "address_purpose": "LOCATION",
            "city": "Pleasanton",
            "state": "CA",
            "postal_code": "945883001",
            "country_code": "US",
            "telephone_number": "925-416-1888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHENG",
        "first_name": "HELEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-10",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1708",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.