Individual provider Active NPI

Rosanna Chen, O.D.

  • Optometrist
  • Daly City, CA
National Provider Identifier
1629259726
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13448 Issued in CA
Practice address
326 Westlake Ctr
Daly City, CA 94015-1431
Phone
(650) 992-2020
Fax
(650) 992-1105
NPI assigned
Nov 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13448 CA Primary

Addresses

Primary practice location

326 Westlake Ctr
Daly City, CA 94015-1431

Mailing address

326 Westlake Ctr
Daly City, CA 94015-1431
Phone (650) 992-2020

Other names 1

  • Rosanna Pok Yeung Fong Former name

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
I20081111000572 CA Practitioner - Optometry 7012076664 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Westlake Vision Center Optometry Inc, a Professional Optometric Corp Optometrist CurrentSince Apr 22, 2014 Accepting new patients

Locations

326 Westlake Ctr
Daly City, CA 94015
Phone (650) 449-0071

Organizations & group practices 1

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": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1629259726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 WESTLAKE CTR",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940151431",
            "telephone_number": "650-992-2020",
            "fax_number": "650-992-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 WESTLAKE CTR",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940151431",
            "telephone_number": "650-992-2020",
            "fax_number": "650-992-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "ROSANNA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-16",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSANNA",
            "last_name": "FONG",
            "middle_name": "POK YEUNG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Daly City, CA

Sources for this page

Verify at the official NPI Registry.