Individual provider Active NPI

Airian T Thai, O.D.

  • Optometrist
  • Monterey Park, CA
National Provider Identifier
1831381441
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12654T Issued in CA
Practice address
850 S Atlantic Blvd
Ste 301
Monterey Park, CA 91754-6710
Phone
(323) 726-6888
Fax
(626) 240-1623
NPI assigned
Aug 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12654T CA Primary

Addresses

Primary practice location

850 S Atlantic Blvd
Ste 301
Monterey Park, CA 91754-6710

Mailing address

850 S Atlantic Blvd
Ste 301
Monterey Park, CA 91754-6710
Phone (323) 726-6888

Other practice location 1

1025 W Olympic Blvd
Los Angeles, CA 90015-1329
Phone (213) 623-2225 ext. 25674

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
I20090825000190 CA Practitioner - Optometry 1557415627 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12654TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Airian Thai Optometry Inc Optometrist CurrentSince Jan 22, 2025 Accepting new patients
Healthcare Partners Affiliates Medical Group Past Accepting new patients

Locations

850 S Atlantic Blvd
Ste 301
Monterey Park, CA 91754
Phone (626) 289-7699

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1831381441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S ATLANTIC BLVD",
            "address_2": "STE 301",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917546710",
            "telephone_number": "323-726-6888",
            "fax_number": "626-240-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S ATLANTIC BLVD",
            "address_2": "STE 301",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917546710",
            "telephone_number": "323-726-6888",
            "fax_number": "626-240-1623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 W Olympic Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900151329",
            "country_code": "US",
            "telephone_number": "213-623-2225 x25674",
            "fax_number": "213-362-5120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAI",
        "first_name": "AIRIAN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12654T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.