Individual provider Active NPI

Emma Coleen McDonnell

  • Ophthalmology Physician
  • Chula Vista, CA
National Provider Identifier
1023357670
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D87058 Issued in MD
Practice address
835 Third Ave Ste a
Chula Vista, CA 91911-1352
Phone
(619) 425-7755
NPI assigned
Feb 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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 D87058 MD Primary

Addresses

Primary practice location

835 Third Ave Ste a
Chula Vista, CA 91911-1352

Mailing address

835 Third Ave Ste a
Chula Vista, CA 91911-1352
Phone (619) 425-7755

Other identifiers 1

IdentifierTypeStateIssuer
D87058OtherMDLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190705000110 MD Practitioner - Ophthalmology 8729384813 Reassigns benefits to 1 organization
I20210527001854 CA Practitioner - Ophthalmology 8729384813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Johns Hopkins University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Retina Associates, LPGroup PAC ID 4284676966, 20 clinicians

Practice addresses (Care Compare)

835 3Rd Ave
Suite a
Chula Vista, CA 91911-1352
Phone 6194257755257755

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D87058MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Retina Associates, LP Ophthalmology CurrentSince May 11, 2021 Accepting new patients
Johns Hopkins University Ophthalmology CurrentSince Jul 7, 2019 Accepting new patients
Johns Hopkins University Ophthalmology CurrentSince Jul 7, 2019 Accepting new patients
Johns Hopkins University Current Accepting new patients
Afsaneh Amini, O.D., a Professional Optometric Corporation PastSince Dec 1, 2024 Accepting new patients
El Centro Regional Medical Center Past Accepting new patients

Locations

835 Third Ave
Ste C
Chula Vista, CA 91911
Phone (619) 425-4209

835 Third Ave
Ste A
Chula Vista, CA 91911
Phone (619) 425-7755

231 W Main St
Fl Second
El Cajon, CA 92020

231 W Main St
El Cajon, CA 92020
Phone (619) 425-7755

1452 S La Brucherie Rd
#A
El Centro, CA 92243

1498 S La Brucherie Rd
#A
El Centro, CA 92243
Phone (619) 425-7755

1498 S La Brucherie Rd
El Centro, CA 92243
Phone (858) 775-5553

1118 W Valley Pkwy
Escondido, CA 92025
Phone (619) 425-7755

1520 E Plaza Blvd
National City, CA 91950
Phone (619) 425-7755

600 N Wolfe St
Baltimore, MD 21287

10751 Falls Rd
Timonium, MD 21093
Phone (410) 583-2727

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: emma.mcdonnell.p1@direct.arch.nextgenshare.com

Organizations & group practices 6

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": "1359676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1023357670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 THIRD AVE STE A",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111352",
            "telephone_number": "619-425-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 THIRD AVE STE A",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111352",
            "telephone_number": "619-425-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONNELL",
        "first_name": "EMMA",
        "middle_name": "COLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-01",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D87058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "D87058",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.