Active NPI
Michael N Palanca, M. D.
- Optometrist
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD12245
- Practice address
- 15004 Innovation Dr.
San Diego, CA 92128-3409 - Phone
- (858) 605-7186
- NPI assigned
- Aug 6, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12245 | CA | |
| Optometrist | 152W00000X | OD12245 | CA | Primary |
Addresses
Primary practice location
15004 Innovation Dr.
San Diego, CA 92128-3409
Mailing address
10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
Phone (858) 605-7186
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
- Illinois College of Optometry at Chicago, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15004 Innovation Dr
San Diego, CA 92128-3498
Phone (858) 487-1800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD12245 | CA | MD | Optometrist |
| 12245 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Family Health Centers of San Diego Inc | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| Scripps Clinic Medical Group | Past | Accepting new patients |
Locations
525 E Main St
El Cajon, CA 92020
Phone (619) 334-3787
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
10862 Calle Verde
La Mesa, CA 91941
Phone (619) 660-5400
File 54433
Los Angeles, CA 90074
Phone (858) 784-5645
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
15004 Innovation Dr
San Diego, CA 92128
Phone (858) 487-1800
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
1809 National Ave
San Diego, CA 92113
Phone (619) 515-2500
10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626
Interoperability endpoints
- mpalanca285415@scrippshlth.medalliesdirect.net
Organizations & group practices 12
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.
-
- Multi-Specialty Clinic/Center
- La Jolla, CA
- NPI 1275899072
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1447281936
-
- Rheumatology Physician
- Orange, CA
- NPI 1487602579
-
- Ophthalmology Physician
- Orange, CA
- NPI 1871541953
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1952729303
-
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1356178180
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Home Health Agency
- San Diego, CA
- NPI 1578556114
-
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
-
- Family Medicine Physician
- San Diego, CA
- NPI 1881636108
-
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1124003280
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571702400000",
"number": "1033663109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10790 RANCHO BERNARDO RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921275705",
"telephone_number": "858-605-7186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15004 INNOVATION DR.",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921283409",
"telephone_number": "858-605-7186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALANCA",
"first_name": "MICHAEL",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-06",
"last_updated": "2019-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12245",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OD12245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.