Kristin Marie Peterson-Salgado, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 10955 TPA Issued in CA

Practice address

977 Lomas Santa Fe Dr
Suite B
Solana Beach, CA 92075-2138

Phone

(858) 259-8239

Fax

(858) 259-8317

NPI assigned

Apr 26, 2007

Last updated

Oct 3, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

University of California - School of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: drpeterson@sdeyevision.emadirect.md

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.

• Solana Beach Family Optometry

  • Optometrist
  • Solana Beach, CA
  • NPI 1578815346
  NPD (past) Authorized official

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1174743868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "977 LOMAS SANTA FE DR",
            "address_2": "SUITE B",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752138",
            "telephone_number": "858-259-8239",
            "fax_number": "858-259-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977 LOMAS SANTA FE DR",
            "address_2": "SUITE B",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752138",
            "telephone_number": "858-259-8239",
            "fax_number": "858-259-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON-SALGADO",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 10955 TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maribel Peraza Bradberry, PH.D.
• Perception Dynamics Incorporated
• Brian Steven Perez, DC
• Daniel M Pertschuk, M.D.
• Allison Catherine Peters, PSY.D.
• Kristal Peterson
• Teresa Peterson, APCC
• Angela Phillips
• Kimberly Myers Phillips
• Andrew Pierce, D.C.

• Optometrist in Solana Beach, CA
• Providers in Solana Beach, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.

Verify at the official NPI Registry.