DR. CHAN NHU DIEP O.D.
NPI 1073814174
Optometrist in Los Angeles, CA
About Dr. Chan Nhu Diep O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CHAN NHU DIEP O.D. (NPI 1073814174) is an individual optometrist in Los Angeles, California, licensed in California (14049) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of University Of California - School Of Optometry (2010).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Chan Nhu Diep O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Chan Diep reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90025
- Reassigned Medicare billing, California enrollment
- 6 clinicians in this Medicare group
Manhattan Beach, CA 90266
- Reassigned Medicare billing, California enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Chan Diep's NPI number?
The NPI number for Chan Diep is 1073814174. It was assigned to this individual provider in the NPPES registry on November 5, 2010.
Where is Chan Diep located?
Chan Diep practices at 11540 Santa Monica Blvd Ste 202, Los Angeles, CA 90025. The listed phone number is (310) 473-5464.
What is Chan Diep's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Chan Diep enrolled in Medicare?
Yes. Chan Diep is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Chan Diep's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chan Diep reassigns Medicare benefits to 2 organizations: (Los Angeles, CA) and Chan Diep Od Inc (Manhattan Beach, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chan Diep's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Chan Diep accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Chan Diep as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Chan Diep was last updated on July 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Chan Nhu Diep, O.D. · NPI 1073814174
Optometrist provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since November 5, 2010.
## Identity
- **NPI:** 1073814174 (Entity type: Individual)
- **Enumerated:** November 5, 2010
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 14049 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11540 SANTA MONICA BLVD STE 202, Los Angeles, CA 90025
- **Phone:** (310) 473-5464 · **Fax:** (310) 473-2536
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): (NPI 1306971429, Los Angeles, CA); Chan Diep Od Inc (NPI 1972272367, Manhattan Beach, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California - School Of Optometry, class of 2010
## Record status
- **NPPES last updated:** July 5, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1073814174) · Data from the CMS NPPES public registry.