Individual provider Active NPI

Jin Xia Zhu, O.D.

  • Optometrist
  • Rancho Cucamonga, CA
National Provider Identifier
1922056365
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11800T Issued in CA
Practice address
12263 Highland Ave
Ste 120
Rancho Cucamonga, CA 91739-2576
Phone
(909) 899-5001
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11800T CA Primary

Addresses

Primary practice location

12263 Highland Ave
Ste 120
Rancho Cucamonga, CA 91739-2576

Mailing address

12263 Highland Ave
Ste 120
Rancho Cucamonga, CA 91739-2576
Phone (909) 899-5001

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
I20040915000729 CA Practitioner - Optometry 2961479225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12263 Highland Ave
Suite 120
Rancho Cucamonga, CA 91739-2576
Phone (909) 899-5001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11800TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear View Optometry, PC Optometrist CurrentSince May 11, 2006 Accepting new patients

Locations

7870 Monet Ave
Rancho Cucamonga, CA 91739
Phone (909) 899-5001

12263 Highland Ave
Ste 120
Rancho Cucamonga, CA 91739
Phone (909) 899-5001

Organizations & group practices 1

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1922056365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12263 HIGHLAND AVE",
            "address_2": "STE 120",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392576",
            "telephone_number": "909-899-5001",
            "fax_number": "909-899-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12263 HIGHLAND AVE",
            "address_2": "STE 120",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392576",
            "telephone_number": "909-899-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHU",
        "first_name": "JIN",
        "middle_name": "XIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11800T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.