Active NPI
Valerie Luong
- Optometrist
- San Leandro, CA
National Provider Identifier
1396465258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 35238
- Practice address
- 117 Pelton Center Way
San Leandro, CA 94577-4815 - Phone
- (510) 895-2116
- NPI assigned
- Aug 31, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 35238 | CA | Primary |
Addresses
Primary practice location
117 Pelton Center Way
San Leandro, CA 94577-4815
Mailing address
1201 Asbury CT
San Leandro, CA 94579-1104
Phone (510) 517-7354
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35238 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1396465258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 ASBURY CT",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945791104",
"telephone_number": "510-517-7354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 PELTON CENTER WAY",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945774815",
"telephone_number": "510-895-2116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUONG",
"first_name": "VALERIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-31",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "35238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.