KELLY TANG
NPI 1629700125
Optometrist in South Pasadena, CA
About Kelly Tang NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY TANG (NPI 1629700125) is an individual optometrist in South Pasadena, California, licensed in California (35160) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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
Kelly Tang 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91030 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 3
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 Kelly Tang's NPI number?
The NPI number for Kelly Tang is 1629700125. It was assigned to this individual provider in the NPPES registry on June 24, 2022.
Where is Kelly Tang located?
Kelly Tang practices at 1024 Mission St Ste B, South Pasadena, CA 91030. The listed phone number is (626) 460-6022.
What is Kelly Tang's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Kelly Tang enrolled in Medicare?
Yes. Kelly Tang 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 Kelly Tang accept?
Health plans from 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 list Kelly Tang 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 Kelly Tang was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Kelly Tang · NPI 1629700125
Optometrist provider in South Pasadena, California. Individual provider, active in the CMS NPPES registry since June 24, 2022.
## Identity
- **NPI:** 1629700125 (Entity type: Individual)
- **Enumerated:** June 24, 2022
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 35160 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1024 MISSION ST STE B, South Pasadena, CA 91030-3198
- **Phone:** (626) 460-6022
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** January 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1629700125) · Data from the CMS NPPES public registry.