Active NPI
Katherine Xie
- Optometrist
- Los Angeles, CA
National Provider Identifier
1487388716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 35134
- Practice address
- 8471 Beverly Blvd Ste 105
Los Angeles, CA 90048-3452 - Phone
- (310) 360-8218
- NPI assigned
- Jul 12, 2022
- Sex
- Female
- 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 | 35134 | CA | Primary |
Addresses
Primary practice location
8471 Beverly Blvd Ste 105
Los Angeles, CA 90048-3452
Mailing address
1409 W Farlington St
West Covina, CA 91790-3355
Phone (626) 251-8125
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 |
|---|---|---|---|
| 35134 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1487388716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 W FARLINGTON ST",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903355",
"telephone_number": "626-251-8125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8471 BEVERLY BLVD STE 105",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900483452",
"telephone_number": "310-360-8218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XIE",
"first_name": "KATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-12",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "35134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.