Active NPI
Angela Huichun Chen, OD
- Optometrist
- Garden Grove, CA
National Provider Identifier
1962750034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 35361TLG
- Practice address
- 11822 Gilbert St
Garden Grove, CA 92841-2720 - Phone
- (714) 512-2775
- NPI assigned
- Aug 21, 2012
- Last updated
- Apr 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 35361TLG | CA | Primary |
Addresses
Primary practice location
11822 Gilbert St
Garden Grove, CA 92841-2720
Mailing address
10823 Reagan St
Los Alamitos, CA 90720-2432
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160602001884 | TX | Practitioner - Optometry | 9537309307 | Practice locations: Del Rio, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35361TLG | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1962750034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10823 REAGAN ST",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907202432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11822 GILBERT ST",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928412720",
"telephone_number": "714-512-2775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "ANGELA",
"middle_name": "HUICHUN",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-21",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "35361TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.