DR. JENNIE JESSICA FAN (NPI# 1801093570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801093570 |
Entity Type | Individual |
Full Name | DR. JENNIE JESSICA FAN |
Credential | OD |
Practice Address |
1300 N Vermont Ave Doctor's Tower, Suite 101 Los Angeles CA 90027-6005 |
Mailing Address |
28281 Somerset Mission Viejo CA 92692-2889 |
Practice Telephone | 3236672102 |
Mailing Telephone | 9495812239 |
Mailing Fax Number | 9494728163 |
Enumeration Date | 2007-06-27 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | 13246 | CA | Eye and Vision Services Providers |
Street Address |
1300 N VERMONT AVE DOCTOR'S TOWER, SUITE 101 |
City | LOS ANGELES |
State | CA |
Zip Code | 90027-6005 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962498410 | Raed Bargout | Internal Medicine | 1300 N Vermont Ave, 401, Los Angeles, CA 90027-6005 | 2005-09-21 |
1447878095 | Michelle Valdez Labao | Nurse Practitioner | 1300 N Vermont Ave, Los Angeles, CA 90027-6098 | 2020-07-09 |
1265059638 | Parveen Kaur Md Inc | Internal Medicine | 1300 N Vermont Ave, Los Angeles, CA 90027-6098 | 2020-07-01 |
1336769728 | Anna Longuryan | Registered Nurse | 1300 N Vermont Ave, Los Angeles, CA 90027-6098 | 2020-04-25 |
1700410438 | Nicole Hilary Jaucian Valdez | Physician Assistant | 1300 N Vermont Ave, Los Angeles, CA 90027 | 2020-03-03 |
1457990087 | Ani Nairi Narinyan | Pharmacist | 1300 N Vermont Ave, Los Angeles, CA 90027-6098 | 2019-12-30 |
1356998272 | Pacifica Health Foundation | Preventive Medicine | 1300 N Vermont Ave, Los Angeles, CA 90027-6098 | 2019-08-26 |
1700341427 | Andrea Vasquez | Nurse Practitioner | 1300 N Vermont Ave, Los Angeles, CA 90027-6098 | 2019-02-06 |
1205391356 | Antoine Vernell Taylor Sr. | Emergency Medicine | 1300 N Vermont Ave, Los Angeles, CA 90027-6098 | 2019-02-04 |
1568936268 | Marianna Muradyan | Pharmacist | 1300 N Vermont Ave, Los Angeles, CA 90027-6098 | 2019-01-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
1104450295 | Sarayana Sercarz | Marriage & Family Therapist | 4080 Woking Way, Los Angeles, CA 90027 | 2020-02-27 |
1457991143 | George Michaiel | Pediatrics | 4650 Sunset Blvd., Ms #54, Los Angeles, CA 90027 | 2020-01-09 |
1477199297 | Molly Rose Holmes | Marriage & Family Therapist | 3901 Los Feliz Boulevard, #303, Los Angeles, CA 90027 | 2019-11-27 |
1588206171 | Dental Help Solutions, LLC | Dentist | 4606 Hollywood Blvd, Suite A, Los Angeles, CA 90027 | 2019-10-15 |
1457905986 | Carmen L Ponce | Physical Therapy Assistant | 4867 Sunset Ave, Los Angeles, CA 90027 | 2019-08-01 |
1447729009 | Matthew Mendoza | Respiratory Therapist, Registered | 4867 Sunset Blvd, Los Angeles, Ca, Los Angeles, CA 90027 | 2018-11-13 |
1659856284 | Leticia Mendez | Nurse Practitioner | 1300 N Vermont Ave 606, Los Angeles, CA 90027 | 2018-09-29 |
Find all providers in zip 90027 |
Taxonomy Code | 152W00000X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437766920 | Mary Mekhael | Optometrist | 5901 Center Dr Apt 456, Los Angeles, CA 90045-8969 | 2020-09-28 |
1013524677 | Jennifer Dang, O.d., A Professional Corporation | Optometrist | 301 S Western Ave Ste 103, Los Angeles, CA 90020-3816 | 2020-09-28 |
1467064766 | Quynh Trang Diep | Optometrist | 222 S Central Ave Apt 400, Los Angeles, CA 90012-4231 | 2020-08-18 |
1114547619 | Eyecare Specialists Medical Group, Inc. | Optometrist | 1711 W Temple St Ste 5665, Los Angeles, CA 90026-5421 | 2020-04-24 |
1487283362 | Daisy Lee Spearman | Optometrist | 5136 W Slauson Ave, Los Angeles, CA 90056-1641 | 2020-04-03 |
1376181768 | Nirlok Corporation | Optometrist | 750 West 7th Street, Los Angeles, CA 90017 | 2019-12-16 |
1841837242 | Hollywood Optometrist | Optometrist | 1300 N Vermont Ave Ste 703, Los Angeles, CA 90027-6089 | 2019-12-04 |
1770124570 | Manchester Optometry Eye Care | Optometrist | 10024 S Vermont Ave Ste 2, Los Angeles, CA 90044-3112 | 2019-10-02 |
1124588165 | Evelynne Chavez | Optometrist | 11301 Wilshire Blvd Bldg 304, Los Angeles, CA 90073-1003 | 2019-03-25 |
1467929265 | Galina Vardanyan | Optometrist | 621 S Western Ave Ste 214, Los Angeles, CA 90005 | 2018-10-30 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90027 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.