Individual provider Active NPI

Angela Jingyi Chen

  • Optometrist
  • El Centro, CA
National Provider Identifier
1720889066
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
36301 Issued in CA
Practice address
3451 S Dogwood Rd Ste 1334
El Centro, CA 92243-9140
Phone
(760) 336-3003
NPI assigned
Mar 22, 2025
Last updated
Jun 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 36301 CA Primary

Addresses

Primary practice location

3451 S Dogwood Rd Ste 1334
El Centro, CA 92243-9140

Mailing address

3451 S Dogwood Rd Ste 1334
El Centro, CA 92243-9140
Phone (760) 336-3003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

500 W Jefferson St
Louisville, KY 40202-2881

5610 San Miguel Rd
Bonita, CA 91902-2212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Valley Optometric Corporation Optometrist PastSince Jul 6, 2026 Accepting new patients
Total Vision PC Optometrist PastSince Jul 6, 2026 Accepting new patients

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, 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": "1742601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1720889066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 S DOGWOOD RD STE 1334",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922439140",
            "telephone_number": "760-336-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 S DOGWOOD RD STE 1334",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922439140",
            "telephone_number": "760-336-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "ANGELA",
        "middle_name": "JINGYI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-22",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "36301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

Verify at the official NPI Registry.