Individual provider Active NPI

Steven D Satnick, O.D.

  • Optometrist
  • San Diego, CA
National Provider Identifier
1265500045
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9957-T Issued in CA
Practice address
9460 Mira Mesa Blvd Ste a
San Diego, CA 92126-4870
Phone
(858) 566-1756
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9957-T CA Primary

Addresses

Primary practice location

9460 Mira Mesa Blvd Ste a
San Diego, CA 92126-4870

Mailing address

14462 Callejon Musica
San Diego, CA 92129-3817
Phone (858) 566-1756

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110516000707 CA Practitioner - Optometry 2860678448 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9957-TCAMDOptometrist
9957CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allen Chung OD Optometric Corporation Optometrist CurrentSince Dec 15, 2019 Accepting new patients
North County Laser Eye Associates, Apc Optometrist CurrentSince May 8, 2021 Accepting new patients
Scripps Health PastSince May 8, 2021 Accepting new patients

Locations

1905 Calle Barcelona
Ste 208
Carlsbad, CA 92009
Phone (760) 930-9646

9460 Mira Mesa Blvd
Ste A
San Diego, CA 92126
Phone (858) 330-4200

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265500045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14462 CALLEJON MUSICA",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921293817",
            "telephone_number": "858-566-1756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9460 MIRA MESA BLVD STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264870",
            "telephone_number": "858-566-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATNICK",
        "first_name": "STEVEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9957-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.