Individual provider Active NPI

Phoebe Hoang, OD

  • Optometrist
  • Culver City, CA
National Provider Identifier
1558154104
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35949 Issued in CA
Practice address
10814 Jefferson Blvd Ste F
Culver City, CA 90230-4988
Phone
(424) 453-2321
Fax
(310) 876-8277
NPI assigned
May 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35949 CA Primary

Addresses

Primary practice location

10814 Jefferson Blvd Ste F
Culver City, CA 90230-4988

Mailing address

16194 Redwood St
Fountain Valley, CA 92708-1512
Phone (714) 906-0847

Other practice location 1

11439 South St
Cerritos, CA 90703-6600
Phone (562) 573-4471

Other practice location 2

3372 W Century Blvd
Inglewood, CA 90303-1305
Phone (424) 732-7430

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
I20250609002582 CA Practitioner - Optometry 1254841224 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35949CAMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionary Retail Management Ca, Inc CurrentSince Nov 9, 2025 Accepting new patients
Tedder Optometric Clinic Management, P.C. Optometrist CurrentSince May 28, 2025 Accepting new patients
Tedder Optometry Group, PC Optometrist PastSince Mar 24, 2024 Accepting new patients
Visionary Retail Management Ca, Inc PastSince Dec 8, 2024 Accepting new patients
Visionary Retail Management Ca, Inc PastSince Nov 9, 2025 Accepting new patients

Locations

10814 Jefferson Blvd
Ste F
Culver City, CA 90230
Phone (424) 453-2321

17064 Slover Ave
Ste 104
Fontana, CA 92337
Phone (909) 258-4380

15268 Summit Ave
Ste 300
Fontana, CA 92336
Phone (909) 279-2424

530 New Los Angeles Ave
Ste 115269
Moorpark, CA 93021
Phone (805) 624-1255

Organizations & group practices 5

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": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1558154104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16194 REDWOOD ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081512",
            "telephone_number": "714-906-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10814 JEFFERSON BLVD STE F",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304988",
            "telephone_number": "424-453-2321",
            "fax_number": "310-876-8277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11439 South St",
            "address_purpose": "LOCATION",
            "city": "Cerritos",
            "state": "CA",
            "postal_code": "907036600",
            "country_code": "US",
            "telephone_number": "562-573-4471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3372 W Century Blvd",
            "address_purpose": "LOCATION",
            "city": "Inglewood",
            "state": "CA",
            "postal_code": "903031305",
            "country_code": "US",
            "telephone_number": "424-732-7430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOANG",
        "first_name": "PHOEBE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

Verify at the official NPI Registry.