Individual provider Active NPI

Alicia Kathleen Scull, OD

  • Optometrist
  • Temecula, CA
National Provider Identifier
1003791526
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
36220 Issued in CA
Practice address
41637 Margarita Rd Ste 100
Temecula, CA 92591-2990
Phone
(951) 296-9300
Fax
(951) 296-6398
NPI assigned
Aug 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 36220 CA Primary

Addresses

Primary practice location

41637 Margarita Rd Ste 100
Temecula, CA 92591-2990

Mailing address

41637 Margarita Rd Ste 100
Temecula, CA 92591-2990
Phone (951) 296-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1003791526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41637 MARGARITA RD STE 100",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925912990",
            "telephone_number": "951-296-9300",
            "fax_number": "951-296-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41637 MARGARITA RD STE 100",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925912990",
            "telephone_number": "951-296-9300",
            "fax_number": "951-296-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCULL",
        "first_name": "ALICIA",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-06",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "36220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.