Individual provider Active NPI

M. Catarina Jang, O.D.

  • Optometrist
  • Hermosa Beach, CA
National Provider Identifier
1851480479
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13814T Issued in CA
Practice address
703 Pier Ave
Ste C
Hermosa Beach, CA 90254-3958
Phone
(917) 796-4024
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X T005981 NY
Optometrist 152W00000X 13814T CA Primary

Addresses

Primary practice location

703 Pier Ave
Ste C
Hermosa Beach, CA 90254-3958

Mailing address

703 Pier Ave
Ste C
Hermosa Beach, CA 90254-3958
Phone (917) 796-4024

Other identifiers 1

IdentifierTypeStateIssuer
02144085MedicaidNY

Other names 1

  • Dr. Catarina M Jang Other name

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
I20191126002478 CA Practitioner - Optometry 3971936253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

703 Pier Ave
Suite C
Hermosa Beach, CA 90254-3958
Phone (310) 374-9899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13814TCAMDOptometrist
T005981NYMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Elements Optometry P.C. Optometrist CurrentSince Aug 11, 2017 Accepting new patients
Robert Scott Kapust OD Inc Optometrist CurrentSince Sep 15, 2019 Accepting new patients

Locations

703 Pier Ave
Ste C
Hermosa Beach, CA 90254
Phone (310) 374-9899

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1851480479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 PIER AVE",
            "address_2": "STE C",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543958",
            "telephone_number": "917-796-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 PIER AVE",
            "address_2": "STE C",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543958",
            "telephone_number": "917-796-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANG",
        "first_name": "M. CATARINA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "T005981",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13814T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02144085",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATARINA",
            "last_name": "JANG",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hermosa Beach, CA

Sources for this page

Verify at the official NPI Registry.