YEN KIM NGUYEN HA O.D.
NPI 1104102201
Optometrist in Los Angeles, CA

Active since November 02, 2011PECOS Enrolled
3668 MOTOR AVE, #310, LOS ANGELES, CA 90034(626) 731-2425 Get Directions Write a Review

NPPES record last updated: August 6, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Yen Kim Nguyen Ha O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YEN KIM NGUYEN HA O.D. (NPI 1104102201) is an individual optometrist in Los Angeles, California, licensed in California (14257) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104102201
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameYEN KIM NGUYEN HACredential: O.D.
Location Address3668 MOTOR AVE, #310Los Angeles, CA 90034-5759
Mailing Address2021 Maycrest AveSouth Pasadena, CA 91030-4208 · (626) 731-2425
Sole ProprietorYes
Enumeration DateNovember 2, 2011
Last NPPES UpdateAugust 6, 2021
NPPES CertifiedAugust 6, 2021
✔ NPI 1104102201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 14257
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.
3668 MOTOR AVE, Los Angeles, CA 90034

Other Names 1

Former Name (1)Yen Kim Nguyen O.d.

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yen Kim Nguyen Ha O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Yen Ha reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optometrist
500 S ATLANTIC BLVD, STE A
Monterey Park, CA 91754
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group

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 90034 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.

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 Yen Ha's NPI number?

The NPI number for Yen Ha is 1104102201. It was assigned to this individual provider in the NPPES registry on November 2, 2011. The provider is also known as Yen Kim Nguyen O.D..

Where is Yen Ha located?

Yen Ha practices at 3668 Motor Ave #310, Los Angeles, CA 90034. The listed phone number is (626) 731-2425.

What is Yen Ha's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Yen Ha enrolled in Medicare?

Yes. Yen Ha is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Yen Ha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yen Ha reassigns Medicare benefits to Seek Vision Optometry (Monterey Park, CA). The 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 Yen Ha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yen Ha accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Yen Ha 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 Yen Ha was last updated on August 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.