Individual provider Active NPI

Abraham Magallanez, O.D.

  • Optometrist
  • Stockton, CA
National Provider Identifier
1144255449
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9646 Issued in CA
Practice address
36 W Yokuts Ave
Suite 1
Stockton, CA 95207-5713
Phone
(209) 952-3700
Fax
(209) 478-3302
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9646 CA Primary

Addresses

Primary practice location

36 W Yokuts Ave
Suite 1
Stockton, CA 95207-5713

Mailing address

36 W Yokuts Ave
Suite 1
Stockton, CA 95207-5713
Phone (209) 952-3700

Other identifiers 1

IdentifierTypeStateIssuer
4444325MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, DE2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20081111000697 CA Practitioner - Optometry 3173682739 Reassigns benefits to 1 organization
I20220131000824 DE Practitioner - Optometry 3173682739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware Eye Care Center PAGroup PAC ID 6002868767, 19 clinicians

Practice addresses (Care Compare)

333 E Main St
Newark Office
Newark, DE 19711-7152
Phone (302) 368-9105

833 S Governors Ave
Dover, DE 19904-4158
Phone (302) 674-1121

Merit-based Incentive Payment System (MIPS)

Final score
80.9 of 100Reported as group
Quality
80.95
Improvement activities
40
Cost
71.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Valley Eye Medical Group Inc. Optometrist CurrentSince Jun 1, 2012 Accepting new patients
Delaware Eye Care Center PA Optometrist CurrentSince Feb 13, 2022 Accepting new patients
Delaware Eye Care Center PA Optometrist Past Accepting new patients
Luxottica of America Inc. Past Accepting new patients
Luxottica of America Inc Past Accepting new patients
Delaware Eye Care Center PA Optometrist Past Accepting new patients

Locations

200 Cottage Ave
Ste 102
Manteca, CA 95336
Phone (209) 239-5303

36 W Yokuts Ave
Ste 1
Stockton, CA 95207
Phone (209) 952-3700

833 S Governors Ave
Dover, DE 19904
Phone (302) 674-1121

16 Old Rudnick Ln
Dover, DE 19901
Phone (302) 652-3353

100 Silicato Pkwy
Ste 303
Milford, DE 19963
Phone (800) 900-2020

333 E Main St
Newark, DE 19711
Phone (302) 368-9105

100 S Main St
Smyrna, DE 19977
Phone (302) 659-4444

100 S Main St
Ste 217
Smyrna, DE 19977
Phone (302) 653-9200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: abraham.magallanez.p1@direct.delewareeyecare.nextgenshare.com

Organizations & group practices 6

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1144255449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 W YOKUTS AVE",
            "address_2": "SUITE 1",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075713",
            "telephone_number": "209-952-3700",
            "fax_number": "209-478-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 W YOKUTS AVE",
            "address_2": "SUITE 1",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075713",
            "telephone_number": "209-952-3700",
            "fax_number": "209-478-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGALLANEZ",
        "first_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4444325",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.