Individual provider Active NPI

Selene Zamarripa, OD

  • Optometrist
  • Orange, CA
National Provider Identifier
1285250415
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34528 Issued in CA
Practice address
1234 W Chapman Ave Ste 201
Orange, CA 92868-2863
Phone
(714) 997-1091
NPI assigned
Jun 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34528 CA Primary

Addresses

Primary practice location

1234 W Chapman Ave Ste 201
Orange, CA 92868-2863

Mailing address

4662 Fairhope Dr
La Mirada, CA 90638-6120
Phone (562) 640-5730

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
I20200930003263 CA Practitioner - Optometry 4082033659 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East-West Eye Institute a Medical CorporationGroup PAC ID 0042297376, 16 clinicians

Practice addresses (Care Compare)

475 W Badillo St
Covina, CA 91723-1834
Phone (626) 732-2200

Merit-based Incentive Payment System (MIPS)

Final score
84.43 of 100Reported as group
Quality
91.88
Promoting interoperability
76
Improvement activities
40
Cost
76.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34528CAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
East-West Eye Institute a Medical Corporation Optometrist CurrentSince Jan 1, 2024 Accepting new patients
East-West Eye Institute a Medical Corporation Optometrist CurrentSince Jan 1, 2024 Accepting new patients
De la Pena Eye Clinic, a Medical Group, Inc. Optometrist CurrentSince Sep 23, 2020 Accepting new patients
De la Pena Eye Clinic, a Medical Group, Inc Optometrist CurrentSince Sep 23, 2020 Accepting new patients
De la Pena Eye Clinic, a Medical Group, Inc. Optometrist Past Accepting new patients
De la Pena Eye Clinic, a Medical Group, Inc. Optometrist Past Accepting new patients
Kavita Surti MD Inc Past Accepting new patients
East-West Eye Institute a Medical Corporation Optometrist Past Accepting new patients
Byron M Fennema O.D. Inc Optometrist PastSince Jun 28, 2020 Accepting new patients

Locations

475 W Badillo St
Covina, CA 91723
Phone (626) 331-2209

10942 Ramona Blvd
Ste A
El Monte, CA 91731
Phone (626) 443-1282

2715 E Florence Ave
Huntington Pk, CA 90255
Phone (323) 581-0120

1760 Termino Ave
Ste 306
Long Beach, CA 90804

139 S Alvarado St
Los Angeles, CA 90057
Phone (213) 484-0170

2446 W Whittier Blvd
Montebello, CA 90640
Phone (213) 728-5500

1520 N Grand Ave
Santa Ana, CA 92701
Phone (714) 558-1193

23441 Madison St
Ste 120
Torrance, CA 90505
Phone (310) 370-3628

7100 Van Nuys Blvd
Ste 120
Van Nuys, CA 91405
Phone (818) 988-1111

7749 Painter Ave
Whittier, CA 90602
Phone (562) 945-6391

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1285250415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4662 FAIRHOPE DR",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906386120",
            "telephone_number": "562-640-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 W CHAPMAN AVE STE 201",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682863",
            "telephone_number": "714-997-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMARRIPA",
        "first_name": "SELENE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.