DR. CHAN NHU DIEP O.D.
NPI 1073814174
Optometrist in Los Angeles, CA

Active since November 05, 2010PECOS EnrolledAccepts Medicare Assignment
11540 SANTA MONICA BLVD STE 202, LOS ANGELES, CA 90025(310) 473-5464(310) 473-2536 Get Directions Write a Review

NPPES record last updated: July 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1073814174
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. CHAN NHU DIEPCredential: O.D.
Location Address11540 SANTA MONICA BLVD STE 202Los Angeles, CA 90025
Mailing Address11540 Santa Monica Blvd Ste 202Los Angeles, CA 90025-7905 · (310) 473-5464 · Fax (310) 473-2536
Fax(310) 473-2536
Sole ProprietorYes
Medical School CMSUniversity Of California - School Of OptometryGraduated 2010
Enumeration DateNovember 5, 2010
Last NPPES UpdateJuly 5, 2019
NPI 1073814174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in CA · 14049 Licensed in NY · 007640
Definition
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.
11540 SANTA MONICA BLVD STE 202, Los Angeles, CA 90025

Secondary Practice Location 1

Location 1128 Mott St, Suite 303New York, NY 10013-5540 · Phone (212) 966-7583 · Fax (212) 966-7582

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID3375877889
PECOS Enrollment IDI20190702002812
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Optometrist
11540 SANTA MONICA BLVD STE 202
LOS ANGELES, CA 90025
Optometrist
11540 SANTA MONICA BLVD STE 202
LOS ANGELES, CA 90025

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.

What insurance does Chan Diep accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 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.