Individual provider Active NPI

Michelle Thuy My Hoang, OD

  • Optometrist
  • Loma Linda, CA
National Provider Identifier
1619718848
Registry record updated Sep 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35719 Issued in CA
Practice address
11370 Anderson St # 1800
Loma Linda, CA 92354-3450
Phone
(909) 558-2154
NPI assigned
Jun 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 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 35719 CA Primary

Addresses

Primary practice location

11370 Anderson St # 1800
Loma Linda, CA 92354-3450

Mailing address

1210 Running Springs CT
Corona, CA 92882-8911
Phone (951) 454-9296

Other practice location 1

5460 E La Palma Ave
Anaheim, CA 92807-2023
Phone (714) 463-7500

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240724001867 CA Practitioner - OptometryPractitioner - Ophthalmology 7012453210 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
OptometryAlso: Ophthalmology
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Faculty Physicians and Surgeons of LlusmGroup PAC ID 1153227814, 1,313 clinicians

Practice addresses (Care Compare)

2195 Club Ctr Dr
San Bernardino, CA 92408-4162
Phone (909) 835-1750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35719CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm Optometrist Current Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Marshall B. Ketchum University Optometrist Current Accepting new patients
Sac Health System CurrentSince Aug 20, 2025 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Sep 1, 2025 Accepting new patients
Marshall B. Ketchum University CurrentSince Jul 1, 2024 Accepting new patients
Sac Health System CurrentSince Aug 20, 2025 Accepting new patients
Sac Health System Current Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Sep 1, 2025 Accepting new patients
Faculty Physicians and Surgeons of Llusm Past Accepting new patients

Locations

5460 E La Palma Ave
Anaheim, CA 92807
Phone (714) 463-7500

81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830

82934 Civic Center Dr
Indio, CA 92201
Phone (760) 477-0733

11370 Anderson St
#1800
Loma Linda, CA 92354
Phone (909) 558-2154

11370 Anderson St
Ste 1800
Loma Linda, CA 92354
Phone (909) 558-2154

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

3916 S Broadway
Los Angeles, CA 90037
Phone (323) 234-9137

26520 Cactus Ave
Ste 2021
Moreno Valley, CA 92555
Phone (951) 486-5700

4244 Riverwalk Pkwy
Ste 100
Riverside, CA 92505
Phone (909) 558-2154

250 S G St
San Bernardino, CA 92410
Phone (909) 771-2990

2195 Club Center Dr
Ste L
Sn Bernrdno, CA 92408
Phone (909) 558-2154

2195 Club Center Dr
Ste A
Sn Bernrdno, CA 92408
Phone (909) 835-1750

1455 3rd Ave
Sn Bernrdno, CA 92408
Phone (909) 382-7146

Interoperability endpoints

  • Direct secure messaging: mhoang1265856@direct.llu.edu
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 10

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": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757116800000",
    "number": "1619718848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 RUNNING SPRINGS CT",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928828911",
            "telephone_number": "951-454-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11370 ANDERSON ST # 1800",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543450",
            "telephone_number": "909-558-2154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5460 E La Palma Ave",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928072023",
            "country_code": "US",
            "telephone_number": "714-463-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOANG",
        "first_name": "MICHELLE",
        "middle_name": "THUY MY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2025-09-06",
        "certification_date": "2025-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.