Individual provider Active NPI

Janice Q Hung, OD

  • Optometrist
  • West Covina, CA
National Provider Identifier
1750917936
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34296TLG Issued in CA
Practice address
3658 S Nogales St
West Covina, CA 91792-2714
Phone
(626) 461-7300
NPI assigned
Mar 19, 2020
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34296TLG CA Primary

Addresses

Primary practice location

3658 S Nogales St
West Covina, CA 91792-2714

Mailing address

3658 S Nogales St
West Covina, CA 91792-2714

Other practice location 1

17833 Colima Road
Rowland Heights, CA 91748-9174
Phone (800) 898-2020

Other practice location 2

3801 Miranda Ave Bldg 5
Palo Alto, CA 94304-1207
Phone (650) 493-5000 ext. 2020

Other practice location 3

160 E Artesia St Ste 120
Pomona, CA 91767-2920
Phone (909) 629-5965

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
I20200914000460 CA Practitioner - Optometry 8325466063 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34296TLGCAMDOptometrist
34296CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarion Optometry Group Prof Corp Optometrist CurrentSince Sep 9, 2024 Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients

Locations

3658 S Nogales St
West Covina, CA 91792
Phone (626) 461-7300

56970 Yucca Trl
Ste 101
Yucca Valley, CA 92284
Phone (760) 228-2020

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1750917936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3658 S NOGALES ST",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917922714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3658 S NOGALES ST",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917922714",
            "telephone_number": "626-461-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17833 Colima Road",
            "address_purpose": "LOCATION",
            "city": "Rowland Heights",
            "state": "CA",
            "postal_code": "917489174",
            "country_code": "US",
            "telephone_number": "800-898-2020",
            "fax_number": "844-897-3788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3801 Miranda Ave Bldg 5",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943041207",
            "country_code": "US",
            "telephone_number": "650-493-5000 x2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 E Artesia St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917672920",
            "country_code": "US",
            "telephone_number": "909-629-5965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNG",
        "first_name": "JANICE",
        "middle_name": "Q",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-19",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34296TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.