Individual provider Active NPI

Tiffany M Ong, OD

  • Optometrist
  • Manhattan Beach, CA
National Provider Identifier
1902889009
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11722T Issued in CA
Practice address
3200 N Sepulveda Blvd
Suite E4
Manhattan Beach, CA 90266-2458
Phone
(310) 546-5568
Fax
(310) 546-5421
NPI assigned
Nov 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11722T CA Primary

Addresses

Primary practice location

3200 N Sepulveda Blvd
Suite E4
Manhattan Beach, CA 90266-2458

Mailing address

22732 Cypress St
Torrance, CA 90501-5338
Phone (310) 530-0899

Other identifiers 1

IdentifierTypeStateIssuer
SO0011722MedicaidCA

Other names 1

  • Mrs. Tiffany M Len 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
I20240124003033 CA Practitioner - Optometry 1052764206 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11722TCAMDOptometrist
11722CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Ardaya & Lin Optometry Inc Optometrist CurrentSince Dec 9, 2023 Accepting new patients
Sheldon M. Golden OD Optometric Corporation Optometrist Past Accepting new patients

Locations

201 E Magnolia Blvd
Ste 261
Burbank, CA 91502
Phone (818) 841-2393

3200 N Sepulveda Blvd
Ste E4
Manhattan Beach, CA 90266
Phone (310) 546-5568

1026 W West Covina Pkwy
Ste B
West Covina, CA 91790
Phone (626) 593-4234

11245 Washington Blvd
Whittier, CA 90606
Phone (562) 692-1208

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1902889009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22732 CYPRESS ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905015338",
            "telephone_number": "310-530-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N SEPULVEDA BLVD",
            "address_2": "SUITE E4",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662458",
            "telephone_number": "310-546-5568",
            "fax_number": "310-546-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONG",
        "first_name": "TIFFANY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11722T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SO0011722",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "LEN",
            "middle_name": "M",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Manhattan Beach, CA

Sources for this page

Verify at the official NPI Registry.