Individual provider Active NPI

Chloe Inhye Kang, OD

  • Optometrist
  • Saratoga, CA
National Provider Identifier
1669159190
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35517 Issued in CA
Practice address
20398 Blauer Dr
Saratoga, CA 95070-4307
Phone
(408) 777-6350
Fax
(408) 777-6354
NPI assigned
Jun 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 35517 CA Primary

Addresses

Primary practice location

20398 Blauer Dr
Saratoga, CA 95070-4307

Mailing address

20398 Blauer Dr
Saratoga, CA 95070-4307
Phone (408) 777-6350

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
I20230724003029 CA Practitioner - Optometry 6709246655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Clara Ophthalmology IncorporatedGroup PAC ID 8123212750, 3 clinicians

Practice addresses (Care Compare)

20398 Blauer Dr
Saratoga, CA 95070-4307
Phone (408) 777-6350

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35517CAMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Clara Ophthalmology Incorporated Single Specialty CurrentSince Jul 11, 2023 Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

1241 E Hillsdale Blvd
Ste 220
Foster City, CA 94404
Phone (650) 288-1633

20398 Blauer Dr
Saratoga, CA 95070
Phone (408) 502-5000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1669159190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20398 BLAUER DR",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950704307",
            "telephone_number": "408-777-6350",
            "fax_number": "408-777-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20398 BLAUER DR",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950704307",
            "telephone_number": "408-777-6350",
            "fax_number": "408-777-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "CHLOE",
        "middle_name": "INHYE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga, CA

Sources for this page

Verify at the official NPI Registry.