Individual provider Active NPI

Danielle Mantione, O.D.

  • Optometrist
  • Temecula, CA
National Provider Identifier
1124470042
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33395 Issued in CA
Practice address
43980 Margarita Rd Ste 103
Temecula, CA 92592-2783
Phone
(951) 302-1331
NPI assigned
Jul 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33395 CA Primary

Addresses

Primary practice location

43980 Margarita Rd Ste 103
Temecula, CA 92592-2783

Mailing address

15943 Sunnyfield PL
San Diego, CA 92127-2058

Other practice location 1

39252 Winchester Rd Ste 127
Murrieta, CA 92563-3511
Phone (951) 600-9226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170208002335 AZ Practitioner - Optometry 6103109566 Reassigns benefits to 1 organization
I20180216002295 CA Practitioner - Optometry 6103109566 Reassigns benefits to 2 organizations
I20190820000415 TX Practitioner - Optometry 6103109566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
JC Edwards School of Medicine, Marshall University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wan and Mashouf Optometric Corp PCGroup PAC ID 7315347432, 4 clinicians

Practice addresses (Care Compare)

10549 Scripps Poway Pkwy
Suite G
San Diego, CA 92131-3963
Phone (858) 530-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2119AZMDGeneral Practice Dentistry
33395CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside-San Bernardino County Indian Health, Inc CurrentSince Apr 23, 2019 Accepting new patients
Wan and Mashouf Optometric Corp PC Optometrist CurrentSince Jan 1, 2025 Accepting new patients
Riverside-San Bernardino County Indian Health, Inc CurrentSince Apr 23, 2019 Accepting new patients
Riverside-San Bernardino County Indian Health, Inc. Current Accepting new patients
Total Vision PC Optometrist CurrentSince Apr 22, 2019 Accepting new patients
The Vision Center of West Phoenix Optometrist CurrentSince Dec 21, 2016 Accepting new patients
Giovanni Venittelli OD Inc Optometrist PastSince Feb 25, 2024 Accepting new patients
Steven T Klein OD & Kimberly Plattner OD a Professional Corporation Optometrist Past Accepting new patients

Locations

9515 W Camelback Rd
Ste 110
Phoenix, AZ 85037
Phone (623) 937-1655

11980 Mount Vernon Ave
Grand Terrace, CA 92313
Phone (909) 783-8470

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

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

11717 Bernardo Plaza Ct
Ste 105
San Diego, CA 92128
Phone (858) 487-5555

10549 Scripps Poway Pkwy
Ste G
San Diego, CA 92131
Phone (858) 530-2800

Organizations & group practices 8

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": "1467417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1124470042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15943 SUNNYFIELD PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921272058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43980 MARGARITA RD STE 103",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922783",
            "telephone_number": "951-302-1331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39252 Winchester Rd Ste 127",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925633511",
            "country_code": "US",
            "telephone_number": "951-600-9226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANTIONE",
        "first_name": "DANIELLE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-02",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.