Individual provider Active NPI

Cara Anderson, OD

  • Optometrist
  • Chino, CA
National Provider Identifier
1992681373
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT36074-TLG Issued in CA
Practice address
14335 Pipeline Ave
Chino, CA 91710-5642
Phone
(909) 628-8860
NPI assigned
Aug 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT36074-TLG CA Primary

Addresses

Primary practice location

14335 Pipeline Ave
Chino, CA 91710-5642

Mailing address

14461 Merced Ave Ste 101
Baldwin Park, CA 91706-5173
Phone (626) 939-4588

Other practice location 1

14461 Merced Ave Ste 101
Baldwin Park, CA 91706-5173
Phone (626) 939-4588

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
I20251119001153 CA Practitioner - Optometry 8527559350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14461 Merced Ave
Suite 101
Baldwin Park, CA 91706-5100

PO Box
Suite 1005
Southaven, MS 38671

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT36074-TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Primigenia Optometry Inc Optometrist CurrentSince Aug 29, 2025 Accepting new patients

Locations

14461 Merced Ave
Ste 101
Baldwin Park, CA 91706
Phone (626) 939-4588

14335 Pipeline Ave
Ste A5
Chino, CA 91710
Phone (909) 628-8860

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": "1754956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1992681373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14461 MERCED AVE STE 101",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917065173",
            "telephone_number": "626-939-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14335 PIPELINE AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105642",
            "telephone_number": "909-628-8860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14461 Merced Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Baldwin Park",
            "state": "CA",
            "postal_code": "917065173",
            "country_code": "US",
            "telephone_number": "626-939-4588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CARA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT36074-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.