Individual provider Active NPI

Sabrina Warhola, OD

  • Optometrist
  • Santa Maria, CA
National Provider Identifier
1023108743
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14189 Issued in CA
Practice address
2011 S Broadway
Suite G
Santa Maria, CA 93454-7886
Phone
(805) 363-2703
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2000167780 MO
Optometrist 152W00000X 14189 CA Primary

Addresses

Primary practice location

2011 S Broadway
Suite G
Santa Maria, CA 93454-7886

Mailing address

2011 S Broadway
Suite G
Santa Maria, CA 93454-7886
Phone (805) 363-2703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2000167780MOMDOptometrist

Networks

  • UT PPO D-SNP
  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
  • UT PPO

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1023108743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 S BROADWAY",
            "address_2": "SUITE G",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547886",
            "telephone_number": "805-363-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 S BROADWAY",
            "address_2": "SUITE G",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547886",
            "telephone_number": "805-363-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARHOLA",
        "first_name": "SABRINA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2000167780",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.