Individual provider Active NPI

Wesley Chew, O.D.

  • Optometrist
  • Santa Ana, CA
National Provider Identifier
1952714446
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14901TLG Issued in CA
Practice address
1403 N Tustin Ave Ste 399
Santa Ana, CA 92705-8691
Phone
(714) 884-3961
Fax
(714) 884-3458
NPI assigned
Jun 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14901TLG CA Primary

Addresses

Primary practice location

1403 N Tustin Ave Ste 399
Santa Ana, CA 92705-8691

Mailing address

100 E California Blvd
Pasadena, CA 91105-3205
Phone (888) 884-3805

Other identifiers 1

IdentifierTypeStateIssuer
1952714446MedicaidCA

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
I20150205002646 CA Practitioner - Optometry 4385969708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1403 N Tustin Ave
Suite 399
Santa Ana, CA 92705-8691
Phone (714) 884-3961

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14901TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Institute of California Medical Group, a California Medical Par Optometrist CurrentSince Dec 1, 2015 Accepting new patients
Trilogy Eye Medical Group Inc Optometrist CurrentSince Dec 1, 2015 Accepting new patients
Trilogy Eye Medical Group, Inc Optometrist Past Accepting new patients
Barry a. Katzman, M.D., Inc Apc Optometrist Past Accepting new patients
Retina Institute of California Medical Group, a California Medical Par Optometrist PastSince Oct 20, 2024 Accepting new patients

Locations

500 S Anaheim Hills Rd
Ste 234
Anaheim, CA 92807
Phone (714) 282-5437

288 N Santa Anita Ave
Ste 101
Arcadia, CA 91006

9500 Stockdale Hwy
Ste 108
Bakersfield, CA 93311
Phone (661) 663-8500

11525 Brookshire Ave
Downey, CA 90241
Phone (562) 861-0954

1950 Sunny Crest Dr
Ste 3200
Fullerton, CA 92835
Phone (714) 278-1829

12828 Harbor Blvd
Ste 330
Garden Grove, CA 92840
Phone (714) 534-8100

12828 Harbor Blvd
Ste 205
Garden Grove, CA 92840

12828 Harbor Blvd
Ste 305
Garden Grove, CA 92840
Phone (714) 534-8100

73271 Fred Waring Dr
Ste 101
Palm Desert, CA 92260
Phone (213) 234-1000

100 E California Blvd
Pasadena, CA 91105
Phone (626) 568-8838

207 S Santa Anita St
Ste P25
San Gabriel, CA 91776
Phone (626) 200-1277

1403 N Tustin Ave
Ste 399
Santa Ana, CA 92705
Phone (714) 884-3961

1403 N Tustin Ave
#399
Santa Ana, CA 92705

14642 Newport Ave
Ste 350
Tustin, CA 92780
Phone (714) 884-3961

14642 Newport Ave
Ste 210
Tustin, CA 92780
Phone (714) 669-4449

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1952714446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CALIFORNIA BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053205",
            "telephone_number": "888-884-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 N TUSTIN AVE STE 399",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058691",
            "telephone_number": "714-884-3961",
            "fax_number": "714-884-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEW",
        "first_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14901TLG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952714446",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.