Individual provider Active NPI

Janel Mallari, OD

  • Optometrist
  • Del Mar, CA
National Provider Identifier
1275132896
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34718 Issued in CA
Practice address
1414 Camino del Mar
Del Mar, CA 92014-2510
Phone
(858) 526-3227
NPI assigned
Oct 23, 2020
Last updated
Mar 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34718 CA Primary

Addresses

Primary practice location

1414 Camino del Mar
Del Mar, CA 92014-2510

Mailing address

425 W Beech St Unit 1053
San Diego, CA 92101-8433

Other practice location 1

7007 Friars Rd Ste 311
San Diego, CA 92108-1141
Phone (619) 332-3060

Other practice location 2

1640 Camino Del Rio N Ste 200
San Diego, CA 92108-1523
Phone (619) 299-3113

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
I20201202001573 CA Practitioner - Optometry 1254742869 Practice locations: Del Mar, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mira Mesa Optometry, Inc Optometrist PastSince Oct 1, 2020 Accepting new patients
Steven T Klein OD & Kimberly Plattner OD a Professional Corporation Optometrist Past Accepting new patients
Mallari Optometry, PC Optometrist PastSince Mar 3, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1275132896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W BEECH ST UNIT 1053",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921018433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 CAMINO DEL MAR",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142510",
            "telephone_number": "858-526-3227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7007 Friars Rd Ste 311",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921081141",
            "country_code": "US",
            "telephone_number": "619-332-3060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1640 Camino Del Rio N Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921081523",
            "country_code": "US",
            "telephone_number": "619-299-3113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLARI",
        "first_name": "JANEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Mar, CA

Sources for this page

Verify at the official NPI Registry.