Individual provider Active NPI

James P Cheung, OPTOMETRIST

  • Optometrist
  • West Covina, CA
National Provider Identifier
1780734152
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11619 TPL Issued in CA
Practice address
4141 S Nogales St
Building C Unit 101
West Covina, CA 91792-3056
Phone
(626) 839-1010
Fax
(626) 839-1013
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11619 TPL CA Primary

Addresses

Primary practice location

4141 S Nogales St
Building C Unit 101
West Covina, CA 91792-3056

Mailing address

4141 S Nogales St
Building C Unit 101
West Covina, CA 91792-3056
Phone (626) 839-1010

Other identifiers 1

IdentifierTypeStateIssuer
SD0011619MedicaidCA

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
I20071019000438 CA Practitioner - Optometry 8729174867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4141 S Nogales St
Unit C101
West Covina, CA 91792-3057
Phone (626) 839-1010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11619 TPLCAMDOptometrist
11619CAMDAcupuncturist

Practice roles (1 of 2)

OrganizationSpecialtyStatusNew patients
James Cheung & Jana Chen Ods a Professional Corporation Optometrist CurrentSince Jun 16, 2007 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1780734152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 S NOGALES ST",
            "address_2": "BUILDING C UNIT 101",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917923056",
            "telephone_number": "626-839-1010",
            "fax_number": "626-839-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 S NOGALES ST",
            "address_2": "BUILDING C UNIT 101",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917923056",
            "telephone_number": "626-839-1010",
            "fax_number": "626-839-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEUNG",
        "first_name": "JAMES",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "OPTOMETRIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11619 TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0011619",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.