Individual provider Active NPI

Juancho Francisco Catibayan Remulla, M.D.

  • Ophthalmology Physician
  • Apple Valley, CA
National Provider Identifier
1003820358
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C52247 Issued in CA
Practice address
16177 Kamana Rd
Apple Valley, CA 92307-1377
Phone
(760) 946-0618
Fax
(760) 946-0584
NPI assigned
Jul 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X C52247 CA Primary

Addresses

Primary practice location

16177 Kamana Rd
Apple Valley, CA 92307-1377

Mailing address

16177 Kamana Rd
Apple Valley, CA 92307-1377
Phone (760) 946-0618

Other practice location 1

555 N 13th Ave
Upland, CA 91786-4904
Phone (909) 277-2420

Other practice location 2

11959 Mariposa Rd
Hesperia, CA 92345-1696
Phone (800) 345-8979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060919000175 CA Practitioner - Ophthalmology 2567467905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

555 N 13TH Ave
Upland, CA 91786-4904

Merit-based Incentive Payment System (MIPS)

Final score
80.15 of 100Reported as group
Quality
76.08
Promoting interoperability
72
Improvement activities
40
Cost
75.13

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C52247CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Eye Institute a Medical Group Inc CurrentSince Feb 1, 2022 Accepting new patients
Pacific Eye Institute, a Medical Group, Inc. Ophthalmology CurrentSince Feb 1, 2022 Accepting new patients
Dignity Health Past Accepting new patients
St. Mary Medical Center Past Accepting new patients
Corwin Medical Group Inc Ipa Past Accepting new patients
Dignity Health Past Accepting new patients
Choice Physicians Network, Inc. Past Accepting new patients
Victor Valley Community Hospital Past Accepting new patients
Chino Medical Group, Inc Past Accepting new patients
Massachusetts Eye and Ear Infirmary Past Accepting new patients

Locations

16177 Kamana Rd
Apple Valley, CA 92307
Phone (760) 946-0618

15099 Kamana Rd
Apple Valley, CA 92307

930 W Main St
Barstow, CA 92311
Phone 7602561004306

1900 E Washington St
Colton, CA 92324
Phone (909) 825-3425

12442 Limonite Ave
Unit 200
Eastvale, CA 91752
Phone (951) 737-4000

11959 Mariposa Rd
Hesperia, CA 92345
Phone (760) 956-1100

555 N 13th Ave
Upland, CA 91786
Phone (909) 982-8846

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jremulla@pacificeyelaser.intellechartdirect.net

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1003820358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16177 KAMANA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071377",
            "telephone_number": "760-946-0618",
            "fax_number": "760-946-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16177 KAMANA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071377",
            "telephone_number": "760-946-0618",
            "fax_number": "760-946-0584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 N 13th Ave",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917864904",
            "country_code": "US",
            "telephone_number": "909-277-2420",
            "fax_number": "909-206-1097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11959 Mariposa Rd",
            "address_purpose": "LOCATION",
            "city": "Hesperia",
            "state": "CA",
            "postal_code": "923451696",
            "country_code": "US",
            "telephone_number": "800-345-8979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REMULLA",
        "first_name": "JUANCHO FRANCISCO",
        "middle_name": "CATIBAYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C52247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.