Active NPI
Janelle Yanogacio Santa Maria
- Optometrist
- Palo Alto, CA
National Provider Identifier
1134513963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 15301
- Practice address
- 3801 Miranda Ave
Palo Alto, CA 94304-1207 - Phone
- (650) 493-5000
- NPI assigned
- Mar 18, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Optometrist | 152W00000X | 15301 | CA | Primary |
Addresses
Primary practice location
3801 Miranda Ave
Palo Alto, CA 94304-1207
Mailing address
368 Cerro CT
Daly City, CA 94015-4087
Phone (408) 823-4427
Other practice location 1
776A El Camino Real
Redwood City, CA 94063-1541
Phone (650) 366-2020
Other practice location 2
1000 Valencia St
San Francisco, CA 94110-2406
Phone (415) 826-2020
Other practice location 3
133 2nd St
Los Altos, CA 94022-2745
Phone (650) 948-3700
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15301 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aaron Neufeld | Optometrist | Current | Accepting new patients |
Locations
133 2nd St
Los Altos Hills, CA 94022
Phone (650) 941-4482
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": "1426636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1134513963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "368 CERRO CT",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940154087",
"telephone_number": "408-823-4427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 MIRANDA AVE",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041207",
"telephone_number": "650-493-5000"
}
],
"practiceLocations": [
{
"address_1": "776A El Camino Real",
"address_purpose": "LOCATION",
"city": "Redwood City",
"state": "CA",
"postal_code": "940631541",
"country_code": "US",
"telephone_number": "650-366-2020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Valencia St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941102406",
"country_code": "US",
"telephone_number": "415-826-2020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "133 2nd St",
"address_purpose": "LOCATION",
"city": "Los Altos",
"state": "CA",
"postal_code": "940222745",
"country_code": "US",
"telephone_number": "650-948-3700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTA MARIA",
"first_name": "JANELLE",
"middle_name": "YANOGACIO",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-18",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "15301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.