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Ponphen Uttayaya, OD
NPI 1477612190 · Optometrist · Los Angeles, CA
Ponphen Uttayaya, OD is a Optometrist provider in Los Angeles, CA (NPI 1477612190).
Provider details
- NPI number
- 1477612190
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- OPT7737TPA (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6041 Cadillac Ave
Los Angeles, CA 90034-1702
Phone: (323) 857-2000
Street-level locationGet directions
Mailing address
6041 Cadillac Ave
Los Angeles, CA 90034-1702
Registry dates
- Enumerated
- 2006-12-08
- Last updated
- 2021-11-30
Frequently asked questions
- What is Ponphen Uttayaya's NPI number?
- Ponphen Uttayaya's National Provider Identifier (NPI) is 1477612190, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ponphen Uttayaya's specialty?
- Ponphen Uttayaya is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Ponphen Uttayaya located?
- Ponphen Uttayaya's practice location on file with NPPES is 6041 Cadillac Ave, Los Angeles, CA 90034-1702.
- What is Ponphen Uttayaya's phone number?
- The practice phone number listed in the NPPES registry for Ponphen Uttayaya is (323) 857-2000.
- Is Ponphen Uttayaya's NPI active?
- Yes — Ponphen Uttayaya's NPI (1477612190) is active in the NPPES registry as of the last update on 2021-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.