Individual provider Active NPI

Holly Marie Spanggord, M.D.

  • Ophthalmology Physician
  • Laguna Hills, CA
National Provider Identifier
1346234465
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A77935 Issued in CA
Practice address
24022 Calle de la Plata
Suite 305
Laguna Hills, CA 92653
Phone
(949) 588-2020
Fax
(949) 588-0336
NPI assigned
Sep 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A77935 CA Primary

Addresses

Primary practice location

24022 Calle de la Plata
Suite 305
Laguna Hills, CA 92653

Mailing address

24022 Calle de la Plata
Suite 305
Laguna Hills, CA 92653
Phone (949) 588-2020

Other identifiers 1

IdentifierTypeStateIssuer
00A779350MedicaidCA

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100429000349 CA Practitioner - Ophthalmology 3577568468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, San Francisco School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

24022 Calle de la Plata
Suite 305
Laguna Hills, CA 92653-3629
Phone (949) 588-2020

Merit-based Incentive Payment System (MIPS)

Final score
74.3 of 100Reported as individual
Quality
57.42
Improvement activities
40
Cost
71.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A77935CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Coast Eye Care Centers a Comp Ophthalmology Medical GRP Inc. Ophthalmology CurrentSince Feb 8, 2002 Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
South Coast Eye Care Centers Past Accepting new patients

Locations

31852 Coast Hwy
Ste 101
Laguna Beach, CA 92651
Phone (714) 588-2020

23961 Calle de la Magdalena
Ste 302
Laguna Hills, CA 92653
Phone (949) 588-2020

24022 Calle de la Plata
Ste 305
Laguna Hills, CA 92653
Phone (949) 588-2020

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: hollymarie.spanggord.p27@direct.monarchhealthcare.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1346234465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24022 CALLE DE LA PLATA",
            "address_2": "SUITE 305",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "92653",
            "telephone_number": "949-588-2020",
            "fax_number": "949-588-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24022 CALLE DE LA PLATA",
            "address_2": "SUITE 305",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "92653",
            "telephone_number": "949-588-2020",
            "fax_number": "949-588-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANGGORD",
        "first_name": "HOLLY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A77935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A779350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.