Individual provider Active NPI

Cheyenne Chinea Gengler, O.D.

  • Optometrist
  • Martinez, CA
National Provider Identifier
1679861272
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 14203 TLG Issued in CA
Practice address
835 Main St
Martinez, CA 94553-1225
Phone
(925) 228-3737
NPI assigned
Jul 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 14203 TLG CA Primary

Addresses

Primary practice location

835 Main St
Martinez, CA 94553-1225

Mailing address

835 Main St
Martinez, CA 94553-1225
Phone (925) 275-0202

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
I20120501000696 CA Practitioner - Optometry 7618139023 Reassigns benefits to 2 organizations
Practice locations: Martinez, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of California at BerkeleyGroup PAC ID 8628083110, 57 clinicians

Practice addresses (Care Compare)

200 Minor Hall
Berkeley, CA 94720-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 14203 TLGCAMDOptometrist
14203CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Edward a. Williams, O.D., Inc. Optometrist CurrentSince Apr 10, 2022 Accepting new patients
Lighthouse for the Blind and Visually Impaired CurrentSince Apr 10, 2025 Accepting new patients
Regents of the University of California at Berkeley Optometrist CurrentSince Mar 3, 2012 Accepting new patients
Lighthouse for the Blind and Visually Impaired Optometrist CurrentSince Apr 10, 2025 Accepting new patients

Locations

200 Minor Hall
Ste 384A
Berkeley, CA 94720
Phone (510) 642-7844

230 Minor Hall
Berkeley, CA 94720
Phone (510) 642-0609

200 Minor Hall
Berkeley, CA 94720
Phone (510) 642-0945

835 Main St
Martinez, CA 94553
Phone (925) 228-3737

1155 Market St
San Francisco, CA 94103
Phone (415) 694-7306

1155 Market St
Fl 10
San Francisco, CA 94103
Phone (415) 686-9325

Interoperability endpoints

  • Direct secure messaging: cchinea348913@direct-ucsfmedicalcenter.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1310774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1679861272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 MAIN ST",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945531225",
            "telephone_number": "925-275-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 MAIN ST",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945531225",
            "telephone_number": "925-228-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINEA GENGLER",
        "first_name": "CHEYENNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-16",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 14203 TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, CA

Sources for this page

Verify at the official NPI Registry.