Individual provider Active NPI

Jessica Shanshan Maslin, M.D.

  • Ophthalmology Physician
  • Chula Vista, CA
National Provider Identifier
1154684553
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A140884 Issued in CA
Practice address
311 Del Mar Ave
Chula Vista, CA 91910-3908
Phone
(619) 427-3355
Fax
(619) 427-0955
NPI assigned
Jun 20, 2012
Last updated
Jul 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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 NU
Ophthalmology Physician 207W00000X A140884 CA Primary

Addresses

Primary practice location

311 Del Mar Ave
Chula Vista, CA 91910-3908

Mailing address

311 Del Mar Ave
Chula Vista, CA 91910-3908
Phone (619) 427-3355

Other names 1

  • Jessica Shanshan Lin Former name

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160606001063 CA Practitioner - Ophthalmology 8820318066 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, San Diego School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Institute of California Medical Group IncGroup PAC ID 3971530122, 4 clinicians

Practice addresses (Care Compare)

311 Del Mar Ave
Chula Vista, CA 91910-3908
Phone (619) 472-3355

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.48 of 100Reported as group
Quality
91.67
Improvement activities
40
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A140884CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Institute of California Medical Group Inc Ophthalmology CurrentSince Oct 19, 2019 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Jan 1, 2021 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Past Accepting new patients

Locations

311 Del Mar Ave
Chula Vista, CA 91910
Phone (619) 427-3355

311 Del Mar Ave
Ste 201
Chula Vista, CA 91910

435 H St
Chula Vista, CA 91910
Phone (619) 691-7000

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jmaslin327481@scrippshlth.medalliesdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1154684553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 DEL MAR AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103908",
            "telephone_number": "619-427-3355",
            "fax_number": "619-427-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 DEL MAR AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103908",
            "telephone_number": "619-427-3355",
            "fax_number": "619-427-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASLIN",
        "first_name": "JESSICA",
        "middle_name": "SHANSHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A140884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "LIN",
            "middle_name": "SHANSHAN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.