Individual provider Active NPI

Jennifer Tongdong Szeto, OD

  • Optometrist
  • San Gabriel, CA
National Provider Identifier
1376526228
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11751TPL Issued in CA
Practice address
937 E Las Tunas Dr
#A
San Gabriel, CA 91776-1600
Phone
(626) 287-2020
Fax
(626) 287-0257
NPI assigned
Nov 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11751TPL CA Primary

Addresses

Primary practice location

937 E Las Tunas Dr
#A
San Gabriel, CA 91776-1600

Mailing address

937 E Las Tunas Dr
#A
San Gabriel, CA 91776-1600
Phone (626) 287-2020

Other identifiers 1

IdentifierTypeStateIssuer
SD0117510MedicaidCA

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
I20110426000303 CA Practitioner - Optometry 2466496526 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11751TPLCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Raina Cheung, O.D., Inc. Optometrist CurrentSince Jul 22, 2025 Accepting new patients

Locations

937 E Las Tunas Dr
Ste A
San Gabriel, CA 91776
Phone (626) 287-2020

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284681600000",
    "number": "1376526228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 E LAS TUNAS DR",
            "address_2": "#A",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761600",
            "telephone_number": "626-287-2020",
            "fax_number": "626-287-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 E LAS TUNAS DR",
            "address_2": "#A",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761600",
            "telephone_number": "626-287-2020",
            "fax_number": "626-287-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZETO",
        "first_name": "JENNIFER",
        "middle_name": "TONGDONG",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2010-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11751TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0117510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

Verify at the official NPI Registry.