Individual provider Active NPI

Siyi Zhang, OD

  • Optometrist
  • Newport Beach, CA
National Provider Identifier
1679251102
Registry record updated Mar 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT35548-TLG Issued in CA
Practice address
4220 Von Karman Ave Ste 100
Newport Beach, CA 92660-2056
Phone
(949) 854-7400
Fax
(498) 547-3319
NPI assigned
Jul 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2024

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 OPT35548-TLG CA Primary

Addresses

Primary practice location

4220 Von Karman Ave Ste 100
Newport Beach, CA 92660-2056

Mailing address

4220 Von Karman Ave Ste 100
Newport Beach, CA 92660-2056
Phone (498) 547-4009

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
I20230918003924 CA Practitioner - Optometry 1759745193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas S Tooma M D a Professional CorporationGroup PAC ID 7911004288, 31 clinicians

Practice addresses (Care Compare)

4220 Von Karman Ave
Suite 100
Newport Beach, CA 92660-2056
Phone (949) 854-7400

Merit-based Incentive Payment System (MIPS)

Final score
81.61 of 100Reported as group
Quality
81.78
Promoting interoperability
74
Improvement activities
40
Cost
78.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
35548CAMDMarriage & Family Therapist
OPT35548-TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas S Tooma M D a Professional Corporation Optometrist CurrentSince Mar 18, 2024 Accepting new patients
Thomas S Tooma M D a Professional Corporation Optometrist CurrentSince Mar 18, 2024 Accepting new patients
Thomas S. Tooma, M.D. a Professional Corporation Single Specialty Past Accepting new patients
Hoag Memorial Hospital Presbyterian Single Specialty PastSince Jul 1, 2023 Accepting new patients

Locations

4220 Von Karman Ave
Ste 100
Newport Beach, CA 92660
Phone (949) 284-7428

3655 Nobel Dr
Ste 130
San Diego, CA 92122
Phone (858) 283-5371

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": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711238400000",
    "number": "1679251102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 VON KARMAN AVE STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602056",
            "telephone_number": "498-547-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 VON KARMAN AVE STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602056",
            "telephone_number": "949-854-7400",
            "fax_number": "498-547-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "SIYI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2024-03-24",
        "certification_date": "2024-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT35548-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.