Active NPI
Clara Yadira Damian-Santana, O.D.
- Optometrist
- Santa Ana, CA
National Provider Identifier
1215224241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 14170
- Practice address
- 2860 S Bristol St
Suite D
Santa Ana, CA 92704-6200 - Phone
- (714) 540-3993
- Fax
- (844) 231-8874
- NPI assigned
- Jun 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 14170 | CA | Primary |
Addresses
Primary practice location
2860 S Bristol St
Suite D
Santa Ana, CA 92704-6200
Mailing address
2860 S Bristol St
Suite D
Santa Ana, CA 92704-6200
Phone (714) 540-3993
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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14170 | CA | MD | Professional Counselor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Santa Ana, CA
- NPI 1962985440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479254400000",
"number": "1215224241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2860 S BRISTOL ST",
"address_2": "SUITE D",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927046200",
"telephone_number": "714-540-3993",
"fax_number": "844-231-8874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2860 S BRISTOL ST",
"address_2": "SUITE D",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927046200",
"telephone_number": "714-540-3993",
"fax_number": "844-231-8874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMIAN-SANTANA",
"first_name": "CLARA",
"middle_name": "YADIRA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-28",
"last_updated": "2016-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "14170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.