Active NPI
Janice Q Hung, OD
- Optometrist
- West Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 34296TLG
- Practice address
- 3658 S Nogales St
West Covina, CA 91792-2714 - Phone
- (626) 461-7300
- NPI assigned
- Mar 19, 2020
- Last updated
- Aug 28, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34296TLG | CA | MD | Optometrist |
| 34296 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarion Optometry Group Prof Corp | Optometrist | Current | 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.
-
- Optometrist
- Yucca Valley, CA
- NPI 1639572100
-
dba Huntington Hospital
- Psychiatric Hospital Unit
- Pasadena, CA
- NPI 1437121142
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.