Caleb Tang, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

14143TLG Issued in CA

Practice address

1815 Hawthorne Blvd
Ste 236
Redondo Beach, CA 90278-3420

Phone

(310) 370-9598

NPI assigned

Jul 28, 2011

Last updated

Jul 28, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fourth Optometric Care of California

  dba Mt View Optometry and Contact Lens Clinic

  • Optometrist
  • Mountain View, CA
  • NPI 1497499974
  Medicare reassignment NPD
• Fourth Optometric Care of California

  dba Woodland Hills Vision Care Optometry

  • Optometrist
  • Woodland Hills, CA
  • NPI 1568198281
  NPD
• Fourth Optometric Care of California

  • Optometrist
  • Mountain View, CA
  • NPI 1689248874
  NPD

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311811200000",
    "number": "1417235268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 HAWTHORNE BLVD",
            "address_2": "STE 236",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783420",
            "telephone_number": "310-370-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 HAWTHORNE BLVD",
            "address_2": "STE 236",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783420",
            "telephone_number": "310-370-9598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "CALEB",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-28",
        "last_updated": "2011-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14143TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamisha Shawndis Tague, SPA 2013
• Colin Kaz Takahashi, MMFT, LMFT
• Dana Takamoto, PSY.D.
• Taking Time: South Bay
• Trisha Lynn Tanaka, M.S., SLP
• Mai Tang
• Esteban Tapia
• M. Lourdes Tapia, MA, MFT INTERN
• Brittany N Tarrant, MD
• Brooke Taylor

• Optometrist in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2011; 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.

Verify at the official NPI Registry.