Stephanie Cao, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

35158 Issued in CA

Practice address

5500 Grossmont Center Dr Ste 215
La Mesa, CA 91942-3091

Phone

(619) 469-0131

NPI assigned

Jul 5, 2022

Sex

Female

Sole proprietor

No

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: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Imperial Valley Optometric Corporation

  • Optometrist
  • El Centro, CA
  • NPI 1316950207
  Medicare reassignment
• Kevin M Riggs OD Inc

  • Optometrist
  • La Mesa, CA
  • NPI 1881978054
  NPD
• Total Vision PC

  • Optometrist
  • San Diego, CA
  • NPI 1356813711
  NPD (past)

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1215660436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 GROSSMONT CENTER DR STE 215",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 GROSSMONT CENTER DR STE 215",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423091",
            "telephone_number": "619-469-0131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5638 Mission Center Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921084348",
            "country_code": "US",
            "telephone_number": "619-295-2900",
            "fax_number": "888-210-5799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7007 Friars Rd Ste 351",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921081148",
            "country_code": "US",
            "telephone_number": "619-291-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1555 Palm Ave Ste A2",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921541012",
            "country_code": "US",
            "telephone_number": "619-297-2020",
            "fax_number": "888-210-5799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAO",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily J Canale
• Cancer Center Oncology Medical Group, Inc - East County
• Justin Cantley, PMHNP-BC, MSN, RN
• Lacy Canton, LCSW 117157
• Michelle Cao, M.D.
• Julia A. Caputo, P.A.
• Michelle Amber Caraballo, LMFT
• Angelica Carabantes
• Jason Gregory Cardenas, LCSW
• Alyssa Cardoza

• Optometrist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.

Verify at the official NPI Registry.