Individual provider Active NPI

Carmela Larino, O.D.

  • Optometrist
  • Walnut, CA
National Provider Identifier
1083771158
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10504 Issued in CA
Practice address
18800 Amar Rd
Ste A5
Walnut, CA 91789-7100
Phone
(626) 965-3878
Fax
(626) 965-5662
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10504 CA Primary

Addresses

Primary practice location

18800 Amar Rd
Ste A5
Walnut, CA 91789-7100

Mailing address

18800 Amar Rd
Ste A5
Walnut, CA 91789-7100
Phone (626) 965-3878

Other identifiers 1

IdentifierTypeStateIssuer
SD0105040MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110216000272 CA Practitioner - Optometry 8729268271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

18800 Amar Rd
Suite A5
Walnut, CA 91789-4166

18800 Amar Rd
Suite A5
Walnut, CA 91789-7100
Phone (626) 965-3878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10504CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Carmela Larino OD, Inc CurrentSince Jul 11, 1997 Accepting new patients

Locations

18736 Amar Rd
Walnut, CA 91789
Phone (626) 965-3878

18736 Amar Rd
Ste B3
Walnut, CA 91789
Phone (818) 965-3878

18800 Amar Rd
Ste A5
Walnut, CA 91789
Phone (626) 965-3878

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1083771158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18800 AMAR RD",
            "address_2": "STE A5",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917897100",
            "telephone_number": "626-965-3878",
            "fax_number": "626-965-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18800 AMAR RD",
            "address_2": "STE A5",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917897100",
            "telephone_number": "626-965-3878",
            "fax_number": "626-965-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARINO",
        "first_name": "CARMELA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0105040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut, CA

Sources for this page

Verify at the official NPI Registry.