Active NPI
Phoebe Hoang, OD
- Optometrist
- Culver City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 35949
- 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
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 | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35949 | CA | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionary Retail Management Ca, Inc | Current | Accepting new patients | |
| Tedder Optometric Clinic Management, P.C. | Optometrist | Current | Accepting new patients |
| Tedder Optometry Group, PC | Optometrist | Past | Accepting new patients |
| Visionary Retail Management Ca, Inc | Past | Accepting new patients | |
| Visionary Retail Management Ca, Inc | Past | 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.
-
- Optometrist
- Fontana, CA
- NPI 1851091805
-
- Optometrist
- San Dimas, CA
- NPI 1184484222
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.