Active NPI
Yen M. Ma, O.D.
- Optometrist
- Hemet, CA
National Provider Identifier
1255409363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT11180T
- Practice address
- 900 E Morton PL
Hemet, CA 92543-4529 - Phone
- (951) 658-9409
- Fax
- (951) 658-2057
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- No
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 | OPT11180T | CA | Primary |
Addresses
Primary practice location
900 E Morton PL
Hemet, CA 92543-4529
Mailing address
PO Box 70453
Riverside, CA 92513-0453
Phone (951) 776-7820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11939 | Other | CA | MEDICAL EYE SERVICES |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT11180T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Specialists of California Medical Group | Past | Accepting new patients | |
| Dean E. King, O.D. | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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
- Hemet, CA
- NPI 1568675924
-
- Ophthalmology Physician
- Escondido, CA
- NPI 1063969509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188432000000",
"number": "1255409363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70453",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925130453",
"telephone_number": "951-776-7820",
"fax_number": "951-776-7820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E MORTON PL",
"city": "HEMET",
"state": "CA",
"postal_code": "925434529",
"telephone_number": "951-658-9409",
"fax_number": "951-658-2057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MA",
"first_name": "YEN",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2007-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT11180T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL EYE SERVICES",
"identifier": "11939",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.