Active NPI
Abraham Magallanez, O.D.
- Optometrist
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9646
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4444325 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
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 100
- Quality
- 80.95
- Improvement activities
- 40
- Cost
- 71.26
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Valley Eye Medical Group Inc. | Optometrist | Current | Accepting new patients |
| Delaware Eye Care Center PA | Optometrist | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Ophthalmology Physician
- Stockton, CA
- NPI 1609975366
Optometrist
-
- Eyewear Supplier
- Stockton, CA
- NPI 1629122270
-
- Eyewear Supplier
- Kansas City, MO
- NPI 1497412522
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.