California Vision and Visage Medical Group Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

CALIFORNIA VISION AND VISAGE MEDICAL GROUP INC

Practice address

18575 Gale Ave
Suite 168
City of Industry, CA 91748-1340

Phone

(773) 320-1902

NPI assigned

Dec 8, 2009

Organization subpart

No

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

Authorized official

Name

Adam Hsu, M.D.NPI 1699825083

Title

Manager/Officer

Phone

(773) 320-1902

Specialties & licenses 1

Addresses

Other names 1

• California Vision and Visage Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adam Hsu, M.D.

  • Ophthalmology Physician
  • City of Industry, CA
  • NPI 1699825083
  Medicare reassignment Care Compare group NPD Authorized official
• Bonnie B Woo, M.D.

  • Ophthalmology Physician
  • City of Industry, CA
  • NPI 1841222536
  Medicare reassignment Care Compare group NPD
• Diana Chao, MD

  • Ophthalmology Physician
  • San Gabriel, CA
  • NPI 1528320298
  NPD (past)

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1609105451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18575 GALE AVE",
            "address_2": "SUITE 168",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18575 GALE AVE",
            "address_2": "SUITE 168",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481340",
            "telephone_number": "773-320-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA VISION AND VISAGE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "HSU",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "MANAGER/OFFICER",
        "authorized_official_telephone_number": "773-320-1902",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Vision and Visage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Irene Cabral Jara
• Jacqueline Cabrera, OTR/L
• Rebekah Cabrera
• Priscilla Cahyono
• Alexandria Calderon
• Jacqueline Calvache
• Cama Dialysis LLC
• Jessica Campos
• Weiran Cao, N.P
• Zheng Cao

• Ophthalmology Physician in City of Industry, CA
• Providers in City of Industry, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.