Individual provider Active NPI

Julie Kao, O.D.

  • Optometrist
  • San Gabriel, CA
National Provider Identifier
1366798886
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14512 Issued in CA
Practice address
140 W Valley Blvd
Suite 115
San Gabriel, CA 91776-3760
Phone
(626) 288-8023
NPI assigned
Aug 2, 2012
Last updated
Aug 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14512 CA Primary

Addresses

Primary practice location

140 W Valley Blvd
Suite 115
San Gabriel, CA 91776-3760

Mailing address

140 W Valley Blvd
Suite 115
San Gabriel, CA 91776-3760
Phone (626) 288-8023

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
I20130719000073 CA Practitioner - Optometry 0244471191 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision PC Optometrist CurrentSince Nov 1, 2021 Accepting new patients
Golden San Gabriel Optometric Vision Center Optometrist CurrentSince Apr 20, 2013 Accepting new patients
Marina Eyecare Center Optometrist Past Accepting new patients
Steven T Klein OD & Kimberly Plattner OD a Professional Corporation 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 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1366798886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W VALLEY BLVD",
            "address_2": "SUITE 115",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763760",
            "telephone_number": "626-288-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W VALLEY BLVD",
            "address_2": "SUITE 115",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763760",
            "telephone_number": "626-288-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAO",
        "first_name": "JULIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

Verify at the official NPI Registry.