Individual provider Active NPI

Jennifer ND Hoang, OD

  • Optometrist
  • Long Beach, CA
National Provider Identifier
1578057717
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT34084TLG Issued in CA
Practice address
2650 Elm Ave Ste 108
Long Beach, CA 90806-1600
Phone
(562) 427-5409
NPI assigned
Jun 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34084TLG CA
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X OPT34084TLG CA Primary

Addresses

Primary practice location

2650 Elm Ave Ste 108
Long Beach, CA 90806-1600

Mailing address

18664 Bushard St
Fountain Valley, CA 92708-7209
Phone (714) 262-3718

Other practice location 1

222 N G St Ste 1
San Bernardino, CA 92410-3217
Phone (909) 963-1420

Other practice location 2

871 S Arc Way
Anaheim, CA 92804
Phone (714) 262-3718

Other practice location 3

477 E Colorado Blvd
Pasadena, CA 91101-2024
Phone (626) 796-1191

Other practice location 4

8942 Garden Grove Blvd Ste 104
Garden Grove, CA 92844
Phone (714) 638-0852

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
I20190114002632 CA Practitioner - Optometry 6507102472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samir a Shah MD Professional CorporationGroup PAC ID 8820112162, 11 clinicians

Practice addresses (Care Compare)

18582 Main St
Huntington Beach, CA 92648-1701
Phone (714) 965-9696

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34084CAMDGeneral Practice Dentistry
34084TLGCAMDOptometrist
OPT34084TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Samir a Shah MD Professional Corporation Optometrist CurrentSince Mar 31, 2025 Accepting new patients
Dr. Arlene T. Yepremian, O.D. a Professional Corporation Optometrist PastSince Oct 6, 2018 Accepting new patients

Locations

18582 Main St
Huntington Beach, CA 92648
Phone (714) 843-5700

3500 Barranca Pkwy
Ste 130
Irvine, CA 92606
Phone (949) 522-6266

2650 Elm Ave
Ste 108
Long Beach, CA 90806
Phone (310) 427-5409

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1578057717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18664 BUSHARD ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087209",
            "telephone_number": "714-262-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 ELM AVE STE 108",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061600",
            "telephone_number": "562-427-5409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 N G St Ste 1",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924103217",
            "country_code": "US",
            "telephone_number": "909-963-1420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "871 S Arc Way",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "92804",
            "country_code": "US",
            "telephone_number": "714-262-3718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "477 E Colorado Blvd",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911012024",
            "country_code": "US",
            "telephone_number": "626-796-1191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8942 Garden Grove Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "92844",
            "country_code": "US",
            "telephone_number": "714-638-0852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOANG",
        "first_name": "JENNIFER",
        "middle_name": "ND",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34084TLG",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT34084TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.