Individual provider Active NPI

Christopher K NG, O.D.

  • Optometrist
  • Santa Maria, CA
National Provider Identifier
1922430586
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14688TLG Issued in CA
Practice address
610 E Chapel St
Suite C
Santa Maria, CA 93454-4522
Phone
(805) 928-2020
Fax
(805) 928-8208
NPI assigned
Aug 6, 2013
Last updated
Aug 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14688TLG CA Primary

Addresses

Primary practice location

610 E Chapel St
Suite C
Santa Maria, CA 93454-4522

Mailing address

610 E Chapel St
Suite C
Santa Maria, CA 93454-4522
Phone (805) 928-2020

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
I20201203000419 CA Practitioner - Optometry 3971914532 Practice locations: Santa Maria, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

610 E Chapel St
Santa Maria, CA 93454-4522
Phone (805) 928-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14688TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Derek NG DDS Inc PastSince Jan 24, 2021 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1922430586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E CHAPEL ST",
            "address_2": "SUITE C",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544522",
            "telephone_number": "805-928-2020",
            "fax_number": "805-928-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E CHAPEL ST",
            "address_2": "SUITE C",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544522",
            "telephone_number": "805-928-2020",
            "fax_number": "805-928-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NG",
        "first_name": "CHRISTOPHER",
        "middle_name": "K",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-06",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14688TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.