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

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A91568 Issued in CA

Legal business name

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

Practice address

720 Magnolia Avenue
Suite a-4
Corona, CA 92879

Phone

(951) 372-9227

Fax

(951) 372-9005

NPI assigned

May 2, 2007

Last updated

Feb 15, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

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

Title

President

Phone

(951) 372-9227

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Ampalanca-Capistranomdinc2 organizations share this tax ID, including this one

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.

  dba Capistrano Eye Canter

  • Medical Specialty Clinic/Center
  • Moreno Valley, CA
  • NPI 1184027112
  NPD tax ID

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• A.M.Palanca-Capistrano,M.D.Inc.

  dba Capistrano Eye Canter

  • Medical Specialty Clinic/Center
  • Moreno Valley, CA
  • NPI 1184027112
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angelita Marquinez Palanca-Capistrano, M.D.

  • Ophthalmology Physician
  • Corona, CA
  • NPI 1578526521
  Medicare reassignment NPD Authorized official
• Thi Dong Buu, O.D.

  • Optometrist
  • Lake Elsinore, CA
  • NPI 1740495183
  Medicare reassignment NPD
• Felix King Lok Wong, OD

  • Optometrist
  • Corona, CA
  • NPI 1467073999
  Medicare reassignment NPD

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1194947200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19069 VAN BUREN BLVD",
            "address_2": "STE. 114-219",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925089169",
            "telephone_number": "951-372-9227",
            "fax_number": "951-372-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 MAGNOLIA AVENUE",
            "address_2": "SUITE A-4",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92879",
            "telephone_number": "951-372-9227",
            "fax_number": "951-372-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.M. PALANCA-CAPISTRANO,M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "PALANCA-CAPISTRANO",
        "authorized_official_first_name": "ANGELITA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-372-9227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A91568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1585438",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Corona, CA
• Providers in Corona, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.