Jessica Michael Tadros, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14816 Issued in CA

Practice address

29826 Haun Rd
Suite 100
Menifee, CA 92586-6546

Phone

(951) 301-8888

Fax

(951) 301-4137

NPI assigned

Nov 19, 2013

Last updated

Apr 21, 2017By the provider in NPPES

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern California College of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Cataract Center and Medical Group IncGroup PAC ID 8628061306, 14 clinicians

California Eye Professionals Medical Group IncGroup PAC ID 1456252279, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/imedicware_cep
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• California Cataract Center & Medical Group Inc

  • Specialist
  • Hemet, CA
  • NPI 1508815374
  Medicare reassignment Care Compare group NPD
• California Eye Professionals Medical Group Inc

  • Ophthalmology Physician
  • Temecula, CA
  • NPI 1649285008
  Medicare reassignment Care Compare group NPD
• Stephen R. Keller, O.D., Inc.

  dba Alta Loma Optometric Center

  • Optometrist
  • Rancho Cucamonga, CA
  • NPI 1619019197
  Medicare reassignment NPD
• Morton Optometric Inc

  dba Alta Loma Optometric

  • Optometrist
  • Rancho Cucamonga, CA
  • NPI 1487067609
  NPD (past)

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1295165785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29826 HAUN RD",
            "address_2": "SUITE 100",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925866546",
            "telephone_number": "951-301-8888",
            "fax_number": "951-301-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29826 HAUN RD",
            "address_2": "SUITE 100",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925866546",
            "telephone_number": "951-301-8888",
            "fax_number": "951-301-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADROS",
        "first_name": "JESSICA",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-19",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunny Rose Glen LLC (Sunny Rose Glen)
• Sunset Board and Care Inc
• Makenna Maria Sweatt
• Swenn Global Management Corporation
• Selena Tadeo
• Sherelle L Talboom, M.S., M.A.ED., PPS
• Tali Acupuncture Inc. (Tali Chang)
• Esther Marielle Tapia
• Maria Jocelyn Tarcelo
• Sandra J Taulbee, D. M. H., LMFT

• Optometrist in Menifee, CA
• Providers in Menifee, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.