A.M.Palanca-Capistrano,M.D.Inc.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A91568 Issued in CA

Legal business name

A.M.PALANCA-CAPISTRANO,M.D.INC.

Doing business as

Capistrano Eye Canter

Practice address

13800 Heacock St
Suite C-110
Moreno Valley, CA 92553-3339

Phone

(951) 653-3388

NPI assigned

Oct 5, 2014

Organization subpart

Yes

Parent organization

A.M.PALANCA-CAPISTRANO,M.D.INCAs reported in NPPES

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

Authorized official

Name

Dr. Angelita Marquinez Palanca-Capistrano, M.D.NPI 1578526521

Title

Ceo

Phone

(951) 372-9227

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Capistrano Eye Canter Doing business as

Tax ID family

Am Palanca-Capistranomd2 organizations share this tax ID, including this one

Part of

Am Palanca-Capistranomd

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• A.M. Palanca-Capistrano,M.D. Inc.

  • Clinic/Center
  • Corona, CA
  • NPI 1194947200
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• A.M. Palanca-Capistrano,M.D. Inc.

  • Clinic/Center
  • Corona, CA
  • NPI 1194947200
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angelita Marquinez Palanca-Capistrano, M.D.

  • Ophthalmology Physician
  • Corona, CA
  • NPI 1578526521
  NPD Authorized official

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

{
    "created_epoch": "1412467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412467200000",
    "number": "1184027112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19069 VAN BUREN BLVD",
            "address_2": "114-219",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925089169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 HEACOCK ST",
            "address_2": "SUITE C-110",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533339",
            "telephone_number": "951-653-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.M.PALANCA-CAPISTRANO,M.D.INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "A.M.PALANCA-CAPISTRANO,M.D.INC",
        "enumeration_date": "2014-10-05",
        "last_updated": "2014-10-05",
        "status": "A",
        "authorized_official_last_name": "PALANCA-CAPISTRANO",
        "authorized_official_first_name": "ANGELITA",
        "authorized_official_middle_name": "MARQUINEZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-372-9227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A91568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1585438",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capistrano Eye Canter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Medical Specialty Clinic/Center in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.