NPIMap

Organization Active NPI

John T. Ju, OD

  • Optometrist
  • Monterey Park, CA
National Provider Identifier
1891934162
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT602TPA Issued in CA
Legal business name
JOHN T. JU, OD
Practice address
616 N Garfield Ave Ste 100
Monterey Park, CA 91754-1153
Phone
(626) 288-3555
Fax
(626) 571-0922
NPI assigned
Feb 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2009

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

Authorized official

Name
Stella Arellano
Title
Ofc MGR
Phone
(909) 627-7363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT602TPA CA Primary

Addresses

Primary practice location

616 N Garfield Ave Ste 100
Monterey Park, CA 91754-1153

Mailing address

616 N Garfield Ave Ste 100
Monterey Park, CA 91754-1153
Phone (626) 288-3555

National Provider Directory

National Provider Directory

Locations

616 N Garfield Ave
Ste 100
Monterey Park, CA 91754
Phone (626) 288-3555

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1891934162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 N GARFIELD AVE STE 100",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541153",
            "telephone_number": "626-288-3555",
            "fax_number": "626-571-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 N GARFIELD AVE STE 100",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541153",
            "telephone_number": "626-288-3555",
            "fax_number": "626-571-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN T. JU, OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-10",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "ARELLANO",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "OFC MGR",
        "authorized_official_telephone_number": "909-627-7363"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT602TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.