Organization Active NPI

The Mobileyes Foundation

  • Optometrist
  • Apple Valley, CA
National Provider Identifier
1083122279
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13883 Issued in CA
Legal business name
THE MOBILEYES FOUNDATION
Practice address
13790 Cochise Rd
Apple Valley, CA 92307-6002
Phone
(951) 816-7338
NPI assigned
Jan 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

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

Authorized official

Name
Dr. Matthew R. Ulibarri, ODNPI 1457688947
Title
President, Ceo, Founder
Phone
(951) 837-5357

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 13883 CA Primary

Addresses

Primary practice location

13790 Cochise Rd
Apple Valley, CA 92307-6002

Mailing address

13790 Cochise Rd
Apple Valley, CA 92307-6002
Phone (951) 816-7338

Other identifiers 1

IdentifierTypeStateIssuer
1457688947MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1083122279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13790 COCHISE RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923076002",
            "telephone_number": "951-816-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13790 COCHISE RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923076002",
            "telephone_number": "951-816-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MOBILEYES FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "ULIBARRI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT, CEO, FOUNDER",
        "authorized_official_telephone_number": "951-837-5357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457688947",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.