Individual provider Active NPI

Mala S Chopra, O.D,

  • Optometrist
  • Pico Rivera, CA
National Provider Identifier
1114115599
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT13432 Issued in CA
Practice address
9049 Washington Boulevard
Pico Rivera, CA 90660-3839
Phone
(562) 949-2288
Fax
(562) 942-8204
NPI assigned
Oct 10, 2007
Last updated
Feb 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT13432 CA Primary

Addresses

Primary practice location

9049 Washington Boulevard
Pico Rivera, CA 90660-3839

Mailing address

9049 Washington Blvd
Pico Rivera, CA 90660-3898
Phone (562) 949-2288

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
I20090317000189 CA Practitioner - Optometry 5597822692 Practice locations: Pico Rivera, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9049 Washington Blvd
Pico Rivera, CA 90660-3898
Phone (562) 949-2288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT13432CAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1114115599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9049 WASHINGTON BLVD",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906603898",
            "telephone_number": "562-949-2288",
            "fax_number": "562-942-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9049 WASHINGTON BOULEVARD",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906603839",
            "telephone_number": "562-949-2288",
            "fax_number": "562-942-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOPRA",
        "first_name": "MALA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-10",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT13432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pico Rivera, CA

Sources for this page

Verify at the official NPI Registry.