Individual provider Active NPI

Sizhuo Kan, OPTICIAN

  • Optician
  • Rowland Heights, CA
National Provider Identifier
1316532468
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
SLD42180 Issued in CA
Practice address
18475 Colima Rd
Rowland Heights, CA 91748-2805
Phone
(626) 346-3770
NPI assigned
Mar 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X SLD42180 CA Primary

Addresses

Primary practice location

18475 Colima Rd
Rowland Heights, CA 91748-2805

Mailing address

18475 Colima Rd
Rowland Heights, CA 91748-2805
Phone (626) 346-3770

Other identifiers 1

IdentifierTypeStateIssuer
F8121196OtherCAEYEMED

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL supermarket Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SLD42180CAMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunkan,LLC Optician CurrentSince Apr 11, 2021 Accepting new patients
Sunkan Corp. Optician CurrentSince Oct 24, 2021 Accepting new patients

Locations

18475 Colima Rd
Rowland Heights, CA 91748
Phone (626) 346-3770

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": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1316532468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18475 COLIMA RD",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917482805",
            "telephone_number": "626-346-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18475 COLIMA RD",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917482805",
            "telephone_number": "626-346-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAN",
        "first_name": "SIZHUO",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "SLD42180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "F8121196",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "supermarket",
            "affiliation": "N",
            "endpointDescription": "retail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "supermarket",
            "address_1": "18475 Colima Rd",
            "city": "Rowland Heights",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917482805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rowland Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.