Individual provider Active NPI

Marisol Hernandez-Sanchez, OD

  • Optometrist
  • Rancho Cucamonga, CA
National Provider Identifier
1104547272
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35278 Issued in CA
Practice address
12263 Highland Ave Ste 120
Rancho Cucamonga, CA 91739-2576
Phone
(909) 899-5001
NPI assigned
Sep 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35278 CA Primary

Addresses

Primary practice location

12263 Highland Ave Ste 120
Rancho Cucamonga, CA 91739-2576

Mailing address

5318 Durfee Ave
El Monte, CA 91732-1222
Phone (626) 587-6532

Other names 1

  • Marisol Sanchez-Cardenas Former name

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
I20220927001439 CA Practitioner - Optometry 9234515321 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clear View Optometry, PC Optometrist CurrentSince Sep 13, 2022 Accepting new patients
Suzan Burmayan, O.D., a Professional Corporation Optometrist CurrentSince Jul 21, 2024 Accepting new patients
Seek Vision Optometry Optometrist CurrentSince Oct 5, 2022 Accepting new patients
Total Vision PC Optometrist CurrentSince Oct 20, 2023 Accepting new patients

Locations

78015 Main St
Ste 107
La Quinta, CA 92253
Phone (760) 771-0715

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

500 S Atlantic Blvd
Ste A
Monterey Park, CA 91754
Phone (626) 537-9987

12263 Highland Ave
Ste 120
Rancho Cucamonga, CA 91739
Phone (909) 899-5001

4515 Central Ave
Ste 101
Riverside, CA 92506
Phone (909) 784-2420

120 W Bonita Ave
Ste A
San Dimas, CA 91773
Phone (909) 599-1100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1104547272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 DURFEE AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917321222",
            "telephone_number": "626-587-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12263 HIGHLAND AVE STE 120",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392576",
            "telephone_number": "909-899-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ-SANCHEZ",
        "first_name": "MARISOL",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISOL",
            "last_name": "SANCHEZ-CARDENAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.