Active NPI
Ronald Santiago Garcia, O.D.
- Optometrist
- San Rafael, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9673T
- Practice address
- 1436 4TH St
San Rafael, CA 94901-2812 - Phone
- (415) 454-0354
- Fax
- (415) 454-0497
- NPI assigned
- Jan 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9673T | CA | Primary |
Addresses
Primary practice location
1436 4TH St
San Rafael, CA 94901-2812
Mailing address
1436 4TH St
San Rafael, CA 94901-2812
Phone (415) 454-0354
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of California - School of Optometry, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1039 El Monte Ave
Suite K
Mountain View, CA 94040-2371
Phone (650) 967-0140
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9673T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fyidoctors of California, Inc. | Optometrist | Current | Accepting new patients |
| Brent P. Chinn, OD and David M. Redman, OD, Optometric Group, Inc | Optometrist | Past | Accepting new patients |
| Eyedesigns Optometry | Optometrist | Past | Accepting new patients |
Locations
1039 El Monte Ave
Ste K
Mountain View, CA 94040
Phone (650) 967-0140
114 N Sunrise Ave
Ste C4
Roseville, CA 95661
Phone (916) 786-2212
1436 4th St
San Rafael, CA 94901
Phone (415) 454-0354
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.
-
- Optometrist
- Roseville, CA
- NPI 1437718418
-
- Optometrist
- San Rafael, CA
- NPI 1912176454
-
- Optometrist
- Mountain View, CA
- NPI 1538497540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374796800000",
"number": "1003968199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1436 4TH ST",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949012812",
"telephone_number": "415-454-0354",
"fax_number": "415-454-0497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1436 4TH ST",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949012812",
"telephone_number": "415-454-0354",
"fax_number": "415-454-0497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "RONALD",
"middle_name": "SANTIAGO",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2013-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "9673T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.