DR. JESSICA P FANG O.D.
NPI 1376898825
Optometrist in Pasadena, CA

Active since July 20, 2012PECOS Enrolled
2700 E FOOTHILL BLVD, SUITE 207, PASADENA, CA 91107(626) 578-9685 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jessica P Fang O.d. NPPES

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

DR. JESSICA P FANG O.D. (NPI 1376898825) is an individual optometrist in Pasadena, California, licensed in California (14420) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376898825
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. JESSICA P FANGCredential: O.D.
Location Address2700 E FOOTHILL BLVD, SUITE 207Pasadena, CA 91107-7100
Mailing Address521 Everett Ave, Unit CMonterey Park, CA 91755-3476 · (408) 623-5078
Sole ProprietorNo
Enumeration DateJuly 20, 2012
Last NPPES UpdateDecember 22, 2021
NPPES CertifiedDecember 22, 2021
NPI 1376898825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in CA · 14420
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.

Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 14420 (CA)
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License 14420 (CA)
2700 E FOOTHILL BLVD, Pasadena, CA 91107

Other Names 1

Former Name (1)Phimphao Chulasawan

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jessica P Fang 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91107 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 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
2700 E FOOTHILL BLVD
PASADENA, CA 91107
Physical Therapist
2700 E FOOTHILL BLVD, SUITE 121
PASADENA, CA 91107
Chiropractor
2700 E FOOTHILL BLVD, SUITE 202
PASADENA, CA 91107
Chiropractor
2700 E FOOTHILL BLVD, SUITE 202
PASADENA, CA 91107
Optometrist
2700 E FOOTHILL BLVD
PASADENA, CA 91107
Chiropractor
2700 E FOOTHILL BLVD, SUITE 202
PASADENA, CA 91107
Physical Therapist
2700 E FOOTHILL BLVD, SUITE 121
PASADENA, CA 91107
Physical Therapist
2700 E FOOTHILL BLVD, SUITE 121
PASADENA, CA 91107

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 Jessica Fang's NPI number?

The NPI number for Jessica Fang is 1376898825. It was assigned to this individual provider in the NPPES registry on July 20, 2012. The provider is also known as Phimphao Chulasawan.

Where is Jessica Fang located?

Jessica Fang practices at 2700 E Foothill Blvd Suite 207, Pasadena, CA 91107. The listed phone number is (626) 578-9685.

What is Jessica Fang's specialty?

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

Is Jessica Fang enrolled in Medicare?

Yes. Jessica Fang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Fang was last updated on December 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.