Active NPI
Curtis Kan, OD
- Optometrist
- Arcadia, CA
National Provider Identifier
1750423612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OP7640T
- Practice address
- 556 Las Tunas Dr
Suite 105
Arcadia, CA 91007-8410 - Phone
- (626) 445-8770
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OP7640T | CA | Primary |
Addresses
Primary practice location
556 Las Tunas Dr
Suite 105
Arcadia, CA 91007-8410
Mailing address
556 Las Tunas Dr
Suite 105
Arcadia, CA 91007-8410
Phone (626) 445-8770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0076401 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP7640T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curtis Kan and Jimmy Lee, OD, PTR | Optometrist | Current | Accepting new patients |
Locations
625 W College St
Ste 102
Los Angeles, CA 90012
Phone (213) 680-1394
Organizations & group practices 1
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.
-
- Optometrist
- Los Angeles, CA
- NPI 1871641191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750423612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "556 LAS TUNAS DR",
"address_2": "SUITE 105",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910078410",
"telephone_number": "626-445-8770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "556 LAS TUNAS DR",
"address_2": "SUITE 105",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910078410",
"telephone_number": "626-445-8770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAN",
"first_name": "CURTIS",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OP7640T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0076401",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.