Active NPI
Jade Yu Juang, OD
- Optometrist
- Mission Hills, CA
National Provider Identifier
1881057248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 33424
- Practice address
- 11333 Sepulveda Blvd
Mission Hills, CA 91345-1116 - Phone
- (818) 869-7269
- Fax
- (818) 869-7127
- NPI assigned
- Apr 3, 2016
- Last updated
- Mar 17, 2018
- 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 | 33424 | CA | Primary |
Addresses
Primary practice location
11333 Sepulveda Blvd
Mission Hills, CA 91345-1116
Mailing address
11333 Sepulveda Blvd
Mission Hills, CA 91345-1116
Other practice location 1
16111 Plummer St
North Hills, CA 91343-2036
Phone (818) 891-7711
Other practice location 2
17909 Soledad Canyon Rd # 200
Canyon Country, CA 91387-3210
Phone (661) 250-5220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1881057248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11333 SEPULVEDA BLVD",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913451116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11333 SEPULVEDA BLVD",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913451116",
"telephone_number": "818-869-7269",
"fax_number": "818-869-7127"
}
],
"practiceLocations": [
{
"address_1": "16111 Plummer St",
"address_purpose": "LOCATION",
"city": "North Hills",
"state": "CA",
"postal_code": "913432036",
"country_code": "US",
"telephone_number": "818-891-7711",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17909 Soledad Canyon Rd # 200",
"address_purpose": "LOCATION",
"city": "Canyon Country",
"state": "CA",
"postal_code": "913873210",
"country_code": "US",
"telephone_number": "661-250-5220",
"fax_number": "661-230-5243",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUANG",
"first_name": "JADE",
"middle_name": "YU",
"name_prefix": "Miss",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-03",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "33424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.