Individual provider Active NPI

Fayeen Tsai, O.D.

  • Optometrist
  • San Gabriel, CA
National Provider Identifier
1598792210
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11767 Issued in CA
Practice address
140 W Valley Blvd
#115
San Gabriel, CA 91776-3760
Phone
(626) 288-8023
Fax
(626) 288-8023
NPI assigned
Jun 27, 2006
Last updated
Jan 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11767 CA Primary

Addresses

Primary practice location

140 W Valley Blvd
#115
San Gabriel, CA 91776-3760

Mailing address

140 W Valley Blvd
#115
San Gabriel, CA 91776-3760
Phone (626) 288-8023

Other identifiers 1

IdentifierTypeStateIssuer
SD0117670MedicaidCA

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
I20150722005724 CA Practitioner - Optometry 9133432909 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11767CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision PC Optometrist CurrentSince Nov 1, 2021 Accepting new patients
Golden San Gabriel Optometric Vision Center Optometrist CurrentSince Jun 15, 2015 Accepting new patients
Marina Eyecare Center Optometrist Past Accepting new patients
Steven T Klein OD & Kimberly Plattner OD a Professional Corporation Optometrist Past Accepting new patients
Mark a. Chung, O.D., a Professional Corporation Optometrist Past Accepting new patients

Locations

655 W Duarte Rd
#B
Arcadia, CA 91007
Phone (626) 446-2028

12461 W Washington Blvd
Los Angeles, CA 90066
Phone (310) 390-6287

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

1 W California Blvd
Ste 513
Pasadena, CA 91105
Phone (626) 382-2509

1015 Nogales St
Ste 109
Rowland Hghts, CA 91748
Phone (626) 428-9186

11717 Bernardo Plaza Ct
Ste 105
San Diego, CA 92128
Phone (858) 487-5555

140 W Valley Blvd
Ste 115
San Gabriel, CA 91776
Phone (626) 288-8023

8205 Santa Monica Blvd
Ste 15
West Hollywood, CA 90046
Phone (323) 650-0337

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1598792210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W VALLEY BLVD",
            "address_2": "#115",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763760",
            "telephone_number": "626-288-8023",
            "fax_number": "626-288-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W VALLEY BLVD",
            "address_2": "#115",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763760",
            "telephone_number": "626-288-8023",
            "fax_number": "626-288-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSAI",
        "first_name": "FAYEEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0117670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

Verify at the official NPI Registry.