Alyssa Pedroza

Primary specialty

OptometristTaxonomy code 152W00000X

License

34864 Issued in CA

Practice address

12461 W Washington Blvd
Los Angeles, CA 90066-5511

Phone

(310) 390-6287

NPI assigned

Jul 27, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern California College of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Alissa Wald and Associates Optometry IncGroup PAC ID 3779470380, 5 clinicians

Woodbridge Optometry IncGroup PAC ID 6901181510, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dr. Alissa Wald and Associates Optometry, Inc.

  • Optometrist
  • Costa Mesa, CA
  • NPI 1851574958
  Medicare reassignment Care Compare group NPD
• Woodbridge Optometry, Inc.

  • Optometrist
  • Irvine, CA
  • NPI 1891232096
  Medicare reassignment Care Compare group NPD
• Total Vision PC

  • Optometrist
  • San Diego, CA
  • NPI 1356813711
  Medicare reassignment NPD
• Marina Eyecare Center

  • Optometrist
  • Los Angeles, CA
  • NPI 1407917701
  NPD (past)
• Mark a. Chung, O.D., a Professional Corporation

  • Optometrist
  • West Hollywood, CA
  • NPI 1861800997
  NPD (past)
• Seal Beach Eyes Optometry Inc

  • Optometrist
  • Seal Beach, CA
  • NPI 1124171566
  NPD (past)
• Steven T Klein OD & Kimberly Plattner OD a Professional Corporation

  • Optometrist
  • San Diego, CA
  • NPI 1861529703
  NPD (past)

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1053084079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12461 W WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12461 W WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665511",
            "telephone_number": "310-390-6287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5092 Warner Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926494030",
            "country_code": "US",
            "telephone_number": "714-846-2897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDROZA",
        "first_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Pedraza
• Pedro Domingo-Foraste M.D. Inc.,
• Angelica Pedro
• Magdalena Jose Pedro
• Natalie Pedroza-Lozano
• Amy Pedroza
• Erica Pedroza
• Jessica Pedroza
• Jose Luis Pedroza Jr.
• Margarita Silvia Pedroza, NURSE

• Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.

Verify at the official NPI Registry.