Individual provider Active NPI

David Joseph Nota, O.D.

  • Optometrist
  • San Clemente, CA
National Provider Identifier
1003886615
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10391T Issued in CA
Practice address
224 Avenida del Mar
Suite a
San Clemente, CA 92672-4011
Phone
(949) 492-2029
Fax
(949) 492-0049
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10391T CA Primary

Addresses

Primary practice location

224 Avenida del Mar
Suite a
San Clemente, CA 92672-4011

Mailing address

224 Avenida del Mar
Suite a
San Clemente, CA 92672-4011
Phone (949) 492-2029

Other identifiers 1

IdentifierTypeStateIssuer
SD0103910MedicaidCA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101214001131 CA Practitioner - Optometry 5991992190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Vision PCGroup PAC ID 9234472242, 115 clinicians

Practice addresses (Care Compare)

1190 Pacific Coast Hwy
Suite E
Seal Beach, CA 90740-6247
Phone (562) 431-2031

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10391CAMDProfessional Counselor
10391TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision PC Optometrist CurrentSince Aug 23, 2019 Accepting new patients
Seal Beach Eyes Optometry Inc Optometrist PastSince Mar 10, 2017 Accepting new patients
Steven T Klein OD & Kimberly Plattner OD a Professional Corporation Optometrist Past Accepting new patients

Locations

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

1001 Avenida Pico
Ste A
San Clemente, CA 92673
Phone (949) 940-0200

140 Avenida del Mar
San Clemente, CA 92672
Phone (949) 492-1853

224 Avenida del Mar
Ste A
San Clemente, CA 92672
Phone (949) 492-2029

12880 Carmel Country Rd
Ste D110
San Diego, CA 92130
Phone (858) 289-4820

11717 Bernardo Plaza Ct
Ste 105
San Diego, CA 92128
Phone (858) 487-5555

1190 Pacific Coast Hwy
Ste E
Seal Beach, CA 90740
Phone (562) 431-2031

Organizations & group practices 3

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1003886615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 AVENIDA DEL MAR",
            "address_2": "SUITE A",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724011",
            "telephone_number": "949-492-2029",
            "fax_number": "949-492-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 AVENIDA DEL MAR",
            "address_2": "SUITE A",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724011",
            "telephone_number": "949-492-2029",
            "fax_number": "949-492-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOTA",
        "first_name": "DAVID",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10391T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0103910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

Verify at the official NPI Registry.