Individual provider Active NPI

Helen Tang, O.D.

  • Optometrist
  • La Jolla, CA
National Provider Identifier
1962553099
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT12953 TPA Issued in CA
Practice address
8950 Via la Jolla Drive
Suite B128
La Jolla, CA 92037-1705
Phone
(858) 523-8710
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT12953 TPA CA Primary

Addresses

Primary practice location

8950 Via la Jolla Drive
Suite B128
La Jolla, CA 92037-1705

Mailing address

13202 Capstone Dr
San Diego, CA 92130-1282
Phone (858) 523-8710

Other practice location 1

2345 Fenton Pkwy
San Diego, CA 92108-4743
Phone (619) 521-1006

Other practice location 2

4605 Morena Blvd
San Diego, CA 92117-3650
Phone (858) 270-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT12953 TPACAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1962553099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13202 CAPSTONE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921301282",
            "telephone_number": "858-523-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 VIA LA JOLLA DRIVE",
            "address_2": "SUITE B128",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371705",
            "telephone_number": "858-523-8710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2345 Fenton Pkwy",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921084743",
            "country_code": "US",
            "telephone_number": "619-521-1006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4605 Morena Blvd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921173650",
            "country_code": "US",
            "telephone_number": "858-270-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANG",
        "first_name": "HELEN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT12953 TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.