Individual provider Active NPI

Anh Tram Tonnu, O.D. (OPTOMETRIST)

  • Optometrist
  • San Diego, CA
National Provider Identifier
1679521280
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11318T Issued in CA
Practice address
6945 El Cajon Blvd
San Diego, CA 92115-1754
Phone
(800) 898-2020
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 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 11318T CA Primary

Addresses

Primary practice location

6945 El Cajon Blvd
San Diego, CA 92115-1754

Mailing address

413 Alderson St
El Cajon, CA 92019-2343
Phone (619) 806-1194

Other practice location 1

2260 Callagan Hwy
Building 3187B Ste 1
San Diego, CA 92136
Phone (619) 544-2284

Other practice location 2

4344 Convoy St Ste C2
San Diego, CA 92111-3737
Phone (800) 898-2020

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
I20061027000225 CA Practitioner - Optometry 2567469976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6945 El Cajon Blvd
San Diego, CA 92115-1754
Phone (619) 697-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11318TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optometry-Vision With Styles, Inc Optometrist CurrentSince Sep 1, 2006 Accepting new patients
Retina Institute of California Medical Group, a California Medical Par Optometrist CurrentSince Sep 1, 2020 Accepting new patients

Locations

1620 Alpine Blvd
Ste 117
Alpine, CA 91901
Phone (619) 445-2687

9500 Stockdale Hwy
Ste 108
Bakersfield, CA 93311
Phone (661) 663-8500

11525 Brookshire Ave
Downey, CA 90241
Phone (562) 861-0954

450 Fletcher Pkwy
Ste 112
El Cajon, CA 92020
Phone (619) 440-5400

225 W Madison Ave
Ste 1
El Cajon, CA 92020
Phone (619) 327-0146

830 W Valley Pkwy
Ste 300
Escondido, CA 92025
Phone (619) 445-2687

700 W El Norte Pkwy
#200
Escondido, CA 92026

9850 Genesee Ave
Ste 310
La Jolla, CA 92037
Phone (619) 457-3010

5565 Grossmont Center Dr
Ste 551
La Mesa, CA 91942
Phone (619) 465-2020

7339 El Cajon Blvd
Ste A
La Mesa, CA 91942
Phone (619) 722-8460

100 E California Blvd
Pasadena, CA 91105
Phone (626) 568-8838

4344 Convoy St
Ste C2
San Diego, CA 92111
Phone (858) 565-8822

6945 El Cajon Blvd
San Diego, CA 92115
Phone (619) 697-4600

2260 Callagan Hwy
San Diego, CA 92136
Phone (619) 544-2284

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1679521280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 ALDERSON ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920192343",
            "telephone_number": "619-806-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6945 EL CAJON BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921151754",
            "telephone_number": "800-898-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2260 CALLAGAN HWY",
            "address_2": "BUILDING 3187B STE 1",
            "address_purpose": "LOCATION",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92136",
            "country_code": "US",
            "telephone_number": "619-544-2284",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4344 Convoy St Ste C2",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921113737",
            "country_code": "US",
            "telephone_number": "800-898-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TONNU",
        "first_name": "ANH",
        "middle_name": "TRAM",
        "credential": "O.D. (OPTOMETRIST)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11318T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.