Active NPI
Jasmine Ang
- Optometrist
- Carson, CA
National Provider Identifier
1639979487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 36295
- Practice address
- 22015 Avalon Blvd
Carson, CA 90745-3355 - Phone
- (310) 830-7584
- NPI assigned
- Mar 19, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 36295 | CA | Primary |
Addresses
Primary practice location
22015 Avalon Blvd
Carson, CA 90745-3355
Mailing address
19546 Rogan CT
Rowland Heights, CA 91748-3255
Phone (909) 859-4587
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1639979487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19546 ROGAN CT",
"city": "ROWLAND HEIGHTS",
"state": "CA",
"postal_code": "917483255",
"telephone_number": "909-859-4587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22015 AVALON BLVD",
"city": "CARSON",
"state": "CA",
"postal_code": "907453355",
"telephone_number": "310-830-7584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANG",
"first_name": "JASMINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-19",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "36295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.