Individual provider Active NPI

Annelynn M Cajayon, O.D.

  • Optometrist
  • Claremont, CA
National Provider Identifier
1023065265
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12948 Issued in CA
Practice address
101 N Indian Hill Blvd
Suite C2-101
Claremont, CA 91711-4669
Phone
(909) 621-0979
Fax
(909) 621-4349
NPI assigned
May 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 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 12948 CA Primary

Addresses

Primary practice location

101 N Indian Hill Blvd
Suite C2-101
Claremont, CA 91711-4669

Mailing address

101 N Indian Hill Blvd
Suite C2-101
Claremont, CA 91711-4669
Phone (909) 621-0979

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
I20060811000162 CA Practitioner - Optometry 6507869583 Practice locations: Claremont, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 N Indian Hill
Suite 101
Claremont, CA 91711-4669

101 N Indian Hill Blvd
Suite C2 101
Claremont, CA 91711-4669
Phone (909) 621-0979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12948CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Annelynn M. Cajayon OD Group Optometrist PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1023065265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N INDIAN HILL BLVD",
            "address_2": "SUITE C2-101",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114669",
            "telephone_number": "909-621-0979",
            "fax_number": "909-621-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N INDIAN HILL BLVD",
            "address_2": "SUITE C2-101",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114669",
            "telephone_number": "909-621-0979",
            "fax_number": "909-621-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAJAYON",
        "first_name": "ANNELYNN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

Verify at the official NPI Registry.