Individual provider Active NPI

Alexander Matthew Turk, OD

  • Optometrist
  • Rancho Santa Margarita, CA
National Provider Identifier
1124868674
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35669 Issued in CA
Practice address
22312 El Paseo Ste D
Rancho Santa Margarita, CA 92688-5803
Phone
(949) 997-3844
NPI assigned
May 30, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 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 35669 CA Primary

Addresses

Primary practice location

22312 El Paseo Ste D
Rancho Santa Margarita, CA 92688-5803

Mailing address

22312 El Paseo Ste D
Rancho Santa Margarita, CA 92688-5803
Phone (949) 997-3844

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
I20240620003744 CA Order and Referring Only - OptometryPractitioner - Optometry 9234672098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35669CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kathleen M. Andersen, O.D., Inc. Optometrist Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://kandersenod.ef.prod.fhir.ema-api.com/fhir/r4/

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": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1124868674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22312 EL PASEO STE D",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926885803",
            "telephone_number": "949-997-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22312 EL PASEO STE D",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926885803",
            "telephone_number": "949-997-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURK",
        "first_name": "ALEXANDER",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

Verify at the official NPI Registry.