Warren J Xie

Primary specialty

Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X

License

35186-TLG Issued in CA

Practice address

120 W Hellman Ave Ste 302
Monterey Park, CA 91754-1209

Phone

(626) 299-2020

NPI assigned

Apr 20, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Optometry

Education

Southern California College of Optometry, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Baldwin Park, CA
  • NPI 1770515280
  Medicare reassignment Care Compare group NPD
• Linden Optometry a Professional Corporation

  • Optometrist
  • Pasadena, CA
  • NPI 1831201078

  Low Vision Rehabilitation

  Medicare reassignment NPD
• Regional Eyecare Services PC

  • Ophthalmology Physician
  • Monterey Park, CA
  • NPI 1093411969
  Medicare reassignment NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • San Diego, CA
  • NPI 1225060742
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Santa Clarita, CA
  • NPI 1316409410
  NPD
• Apikian Optometry PC

  • Optometrist
  • Sherman Oaks, CA
  • NPI 1710830450
  NPD (past)
• Deval Patel Optometric Corporation

  • Optometrist
  • West Covina, CA
  • NPI 1306402508
  NPD (past)
• Dr Svetlana Fisher an Optometric Corporation

  • Optometrist
  • Canoga Park, CA
  • NPI 1356416713
  NPD (past)
• Dr. Arlene T. Yepremian, O.D. a Professional Corporation

  • Clinic/Center
  • Glendale, CA
  • NPI 1043547482
  NPD (past)

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1841871704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 W BIRCHCROFT ST",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910075101",
            "telephone_number": "626-201-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W HELLMAN AVE STE 302",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541209",
            "telephone_number": "626-299-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21001 Sherman Way Ste 14",
            "address_purpose": "LOCATION",
            "city": "Canoga Park",
            "state": "CA",
            "postal_code": "913033679",
            "country_code": "US",
            "telephone_number": "747-230-4024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "477 E Colorado Blvd",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911012024",
            "country_code": "US",
            "telephone_number": "626-796-1191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2233 E Garvey Ave N Ste A",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917911500",
            "country_code": "US",
            "telephone_number": "626-600-9486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "XIE",
        "first_name": "WARREN",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-20",
        "last_updated": "2024-10-25",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "35186-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4733 W Sunset Blvd",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900276021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wynn Medical Center Pediatrics-Medicine
• X Elsie Lin Medical Corporation
• Zhao Liang Xian, LAC
• Si Quan Xiao, OMD
• Diana Xie, PHARM.D.
• Xinyang Wu Inc
• Yanna Xiong, PA
• Anna Jing Ya Xu, NP
• Hui Xu
• John Jun Ming Xu, L. AC.

• Low Vision Rehabilitation Optometrist in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Low Vision Rehabilitation Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.