Individual provider Active NPI

Janelle Yanogacio Santa Maria

  • Optometrist
  • Palo Alto, CA
National Provider Identifier
1134513963
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15301 Issued in CA
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190211001123 CA Practitioner - Optometry 5799023107 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15301CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Aaron Neufeld Optometrist CurrentSince Dec 22, 2018 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

Verify at the official NPI Registry.