Active NPI
Emma Coleen McDonnell
- Ophthalmology Physician
- Chula Vista, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- D87058
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D87058 | Other | MD | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D87058 | MD | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Retina Associates, LP | Ophthalmology | Current | Accepting new patients |
| Johns Hopkins University | Ophthalmology | Current | Accepting new patients |
| Johns Hopkins University | Ophthalmology | Current | Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| Afsaneh Amini, O.D., a Professional Optometric Corporation | Past | 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
- 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.
-
- Ophthalmology Physician
- Chula Vista, CA
- NPI 1114033404
-
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
- Ophthalmology Physician
- Baltimore, MD
- NPI 1588654289
-
- Optometrist
- Escondido, CA
- NPI 1598581217
-
- Rural Health Clinic/Center
- Calexico, CA
- NPI 1598840258
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.