Individual provider Active NPI

Pamela Vines Ombres, MD

  • Ophthalmology Physician
  • La Jolla, CA
National Provider Identifier
1194998906
Registry record updated Apr 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A26788 Issued in CA
Practice address
1869 Caminito Brisa
La Jolla, CA 92037-5704
Phone
(858) 459-0213
NPI assigned
Apr 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A26788 CA Primary

Addresses

Primary practice location

1869 Caminito Brisa
La Jolla, CA 92037-5704

Mailing address

1869 Caminito Brisa
La Jolla, CA 92037-5704
Phone (858) 459-0213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A26788CAMDOphthalmology Physician

NPI Registry JSON

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

{
    "created_epoch": "1207958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207958400000",
    "number": "1194998906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1869 CAMINITO BRISA",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375704",
            "telephone_number": "858-459-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1869 CAMINITO BRISA",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375704",
            "telephone_number": "858-459-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMBRES",
        "first_name": "PAMELA",
        "middle_name": "VINES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-12",
        "last_updated": "2008-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A26788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2008; 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.