Active NPI
Christine Anh Mai Nguyen-Le, O.D.
- Optometrist
- Chino Hills, CA
National Provider Identifier
1659446136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11519
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0115190 | Medicaid | CA |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11519 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seapoint Optometry Group, P.C. | Optometrist | Current | Accepting new patients |
| Lapalma Optical Inc | Current | Accepting new patients | |
| Barbara Park Optometry Inc | Optometrist | Past | Accepting new patients |
| Spectrum Vision Optometry, Inc. | Optometrist | Past | 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.
-
- Optometrist
- La Palma, CA
- NPI 1992231104
-
- Optician
- La Palma, CA
- NPI 1710696588
-
- Optometrist
- Torrance, CA
- NPI 1548029093
-
- Optometrist
- Westminster, CA
- NPI 1467764662
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.