Individual provider Active NPI

Candice Anne Galvan, O.D.

  • Optometrist
  • Whittier, CA
National Provider Identifier
1063675247
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13506 Issued in CA
Practice address
6711 Comstock Ave
Whittier, CA 90601-4106
Phone
(562) 698-0027
Fax
(562) 693-4418
NPI assigned
Jul 8, 2008
Last updated
Dec 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13506 CA Primary

Addresses

Primary practice location

6711 Comstock Ave
Whittier, CA 90601-4106

Mailing address

3614N Cabarton LN
Boise, ID 83704-4511
Phone (562) 756-4409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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

Enrollment IDStateProvider typePAC IDDetails
I20151216001562 ID Practitioner - Optometry 6901934074 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eyecare Specialists PLLC Optometrist CurrentSince Dec 2, 2015 Accepting new patients
Mark a Galvan Optometrist Past Accepting new patients
Cole Family Eye Center, PA PastSince Jul 1, 2011 Accepting new patients
Insight Optical Optometrist PastSince Dec 2, 2015 Accepting new patients

Locations

1906 Fairview Ave
Ste 100
Caldwell, ID 83605
Phone (208) 377-3937

420 E Elm St
Caldwell, ID 83605
Phone (208) 459-2020

Interoperability endpoints

  • FHIR API: https://familyeyes.ef.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1063675247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614N CABARTON LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044511",
            "telephone_number": "562-756-4409",
            "fax_number": "208-377-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 COMSTOCK AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014106",
            "telephone_number": "562-698-0027",
            "fax_number": "562-693-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALVAN",
        "first_name": "CANDICE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.