South Gate Optometry Inc
South Gate Optometry Inc is a healthcare organization registered as Optometrist in South Gate, CA, holding Type 2 (organization) NPI 1154514370 since 2007. The authorized official on file is Anna Pennino, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1154514370 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | South Gate Optometry Inc |
| Practice address | 3329 TWEEDY BLVD, South Gate, CA, 90280 |
| Phone | 3235666183 |
| Enumeration date | 2007-08-21 |
| Last updated in NPPES | 2009-02-19 |
Authorized official
| Name | Anna Pennino |
|---|---|
| Title | Owner |
| Phone | 3235666183 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | 9996T | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0099960 | Medicaid | CA | — |
Copy-ready billing details
Provider: South Gate Optometry Inc NPI: 1154514370 Taxonomy: 152W00000X (Optometrist) Address: 3329 TWEEDY BLVD, South Gate, CA, 90280
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1518948223 | Jack Melmed | Individual | Optometrist | South Gate, CA |
| 1386769362 | Felicia Chen | Individual | Optometrist | South Gate, CA |
| 1821257312 | South Gate Optometry | Organization | Optometrist | South Gate, CA |
| 1821401886 | Fabian Corona | Individual | Optometrist | South Gate, CA |
| 1144848201 | Jonathan Kiriboon | Individual | Optometrist | South Gate, CA |
Verify this record
Cross-check NPI 1154514370 against the authoritative CMS record: view South Gate Optometry Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is South Gate Optometry Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-02-19.