Individual provider Active NPI

Nancy El-Moghrabi, O.D.

  • Optometrist
  • Escondido, CA
National Provider Identifier
1144767211
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34125 Issued in CA
Practice address
290 E Via Rancho Pkwy
Escondido, CA 92025-8005
Phone
(586) 468-7370
NPI assigned
Jan 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005031 MI
Optometrist 152W00000X 34125 CA Primary

Addresses

Primary practice location

290 E Via Rancho Pkwy
Escondido, CA 92025-8005

Mailing address

290 E Via Rancho Pkwy
Escondido, CA 92025-8005
Phone (760) 480-4500

Other identifiers 2

IdentifierTypeStateIssuer
1144767211OtherCAMEDICARE
1144767211MedicaidCA

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
I20181210002872 CA Practitioner - Optometry 4587947221 Reassigns benefits to 3 organizations
Practice locations: Chula Vista, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Salud de la Comunidad de San Ysidro Inc CurrentSince Jul 15, 2019 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Jul 17, 2019 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro, Inc. CurrentSince Jul 15, 2019 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Jul 17, 2019 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro, Inc. Current Accepting new patients
Athena Brasfield OD a Professional Corporation Optometrist CurrentSince Apr 14, 2024 Accepting new patients
Dr. Gregory L. McFarland, O.D., P.C Optometrist PastSince Apr 9, 2018 Accepting new patients

Locations

34131 Date Palm Dr
Ste F1
Cathedral City, CA 92234

1637 Third Ave
Ste B
Chula Vista, CA 91911
Phone (619) 425-1780

52565 Harrison St
Ste 105
Coachella, CA 92236
Phone (760) 347-6636

82227 US Highway 111
Ste B2
Indio, CA 92201
Phone (760) 347-6636

1136 D Ave
National City, CA 91950
Phone (619) 336-2300

400 S Farrell Dr
Ste B130
Palm Springs, CA 92262
Phone (760) 347-6636

1809 National Ave
San Diego, CA 92113
Phone (619) 515-2500

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1144767211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 E VIA RANCHO PKWY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920258005",
            "telephone_number": "760-480-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 E VIA RANCHO PKWY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920258005",
            "telephone_number": "586-468-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-MOGHRABI",
        "first_name": "NANCY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-26",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005031",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1144767211",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144767211",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.