Active NPI
Daniel Cha, O.D.
- Optometrist
- Bonita, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 14779
- Practice address
- 4502 Bonita Rd
Bonita, CA 91902-1427 - Phone
- (619) 479-7334
- Fax
- (619) 475-3456
- NPI assigned
- Aug 29, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 14779 | CA | Primary |
Addresses
Primary practice location
4502 Bonita Rd
Bonita, CA 91902-1427
Mailing address
4158 Decoro St
12
San Diego, CA 92122-1419
Phone (619) 916-1455
Other practice location 1
270 E Douglas Ave # 107B
El Cajon, CA 92020-4514
Phone (619) 916-1455
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
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paje Optometric a Professional Corporation | Optometrist | Current | Accepting new patients |
| Hilton Manor, LLC | Past | Accepting new patients |
Locations
2615 Grand Ave
Long Beach, CA 90815
Phone (562) 283-0502
1618 Laurel Ave
Redlands, CA 92373
Phone (909) 792-6050
8171 Magnolia Ave
Riverside, CA 92504
Phone (951) 657-3842
2414 S Fairview St
Ste 103
Santa Ana, CA 92704
Phone (714) 557-9442
240 Hospital Cir
Westminster, CA 92683
Phone (714) 892-6686
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.
-
- Optometrist
- Santa Ana, CA
- NPI 1073617338
-
- Skilled Nursing Facility
- Redlands, CA
- NPI 1780129163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533081600000",
"number": "1386078020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4158 DECORO ST",
"address_2": "12",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921221419",
"telephone_number": "619-916-1455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4502 BONITA RD",
"city": "BONITA",
"state": "CA",
"postal_code": "919021427",
"telephone_number": "619-479-7334",
"fax_number": "619-475-3456"
}
],
"practiceLocations": [
{
"address_1": "270 E Douglas Ave # 107B",
"address_purpose": "LOCATION",
"city": "El Cajon",
"state": "CA",
"postal_code": "920204514",
"country_code": "US",
"telephone_number": "619-916-1455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHA",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-29",
"last_updated": "2018-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "14779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bonita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.