Individual provider Active NPI

Crystal Dinh, OD

  • Optometrist
  • San Gabriel, CA
National Provider Identifier
1629544044
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34115TLG Issued in CA
Practice address
140 W Valley Blvd Ste 115
San Gabriel, CA 91776-3784
Phone
(626) 288-8023
NPI assigned
Oct 23, 2018
Last updated
Jul 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34115TLG CA Primary

Addresses

Primary practice location

140 W Valley Blvd Ste 115
San Gabriel, CA 91776-3784

Mailing address

140 W Valley Blvd Ste 115
San Gabriel, CA 91776-3784
Phone (626) 288-8023

Other practice location 1

9555 Flaherty St
Temple City, CA 91780-1644
Phone (408) 391-3020

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
I20191106002172 CA Practitioner - Optometry 8123350410 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34115TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision PC Optometrist CurrentSince Nov 1, 2021 Accepting new patients
Golden San Gabriel Optometric Vision Center Optometrist CurrentSince Aug 10, 2019 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

Locations

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

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

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

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1629544044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W VALLEY BLVD STE 115",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763784",
            "telephone_number": "626-288-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W VALLEY BLVD STE 115",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763784",
            "telephone_number": "626-288-8023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9555 Flaherty St",
            "address_purpose": "LOCATION",
            "city": "Temple City",
            "state": "CA",
            "postal_code": "917801644",
            "country_code": "US",
            "telephone_number": "408-391-3020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DINH",
        "first_name": "CRYSTAL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34115TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

Verify at the official NPI Registry.