Individual provider Active NPI

Christine Anh Mai Nguyen-Le, O.D.

  • Optometrist
  • Chino Hills, CA
National Provider Identifier
1659446136
Registry record updated Jan 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11519 Issued in CA
Practice address
4200 Chino Hills Pkwy
Ste 810
Chino Hills, CA 91709-3785
Phone
(909) 479-8111
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11519 CA Primary

Addresses

Primary practice location

4200 Chino Hills Pkwy
Ste 810
Chino Hills, CA 91709-3785

Mailing address

15382 Wilson St
Westminster, CA 92683-6341
Phone (714) 548-1481

Other practice location 1

5426 Beach Blvd
Buena Park, CA 90621-1234
Phone (714) 522-1001

Other identifiers 1

IdentifierTypeStateIssuer
SD0115190MedicaidCA

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
I20040131000150 CA Practitioner - Optometry 6608779103 Reassigns benefits to 1 organization
Practice locations: Chino Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4945 La Palma Ave
La Palma, CA 90623-2054
Phone (562) 348-0074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11519CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Seapoint Optometry Group, P.C. Optometrist CurrentSince May 8, 2017 Accepting new patients
Lapalma Optical Inc CurrentSince Jan 1, 2023 Accepting new patients
Barbara Park Optometry Inc Optometrist PastSince Mar 24, 2024 Accepting new patients
Spectrum Vision Optometry, Inc. Optometrist PastSince Oct 10, 2014 Accepting new patients

Locations

4945 La Palma Ave
La Palma, CA 90623
Phone (562) 348-0074

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578096000000",
    "number": "1659446136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15382 WILSON ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836341",
            "telephone_number": "714-548-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 CHINO HILLS PKWY",
            "address_2": "STE 810",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093785",
            "telephone_number": "909-479-8111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5426 BEACH BLVD",
            "address_purpose": "LOCATION",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211234",
            "country_code": "US",
            "telephone_number": "714-522-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN-LE",
        "first_name": "CHRISTINE",
        "middle_name": "ANH MAI",
        "name_prefix": "Miss",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-01-04",
        "certification_date": "2020-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0115190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

Verify at the official NPI Registry.