Individual provider Active NPI

Renata Ochabski, MD

  • Ophthalmology Physician
  • La Jolla, CA
National Provider Identifier
1386734770
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A66153 Issued in CA
Practice address
7334 Girard Ave
#202
La Jolla, CA 92037-5141
Phone
(858) 459-8224
Fax
(858) 459-4062
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A66153 CA
Ophthalmology Physician 207W00000X A66153 CA Primary

Addresses

Primary practice location

7334 Girard Ave
#202
La Jolla, CA 92037-5141

Mailing address

7334 Girard Ave. #202
La Jolla, CA 92037
Phone (858) 459-8224

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
I20051007000609 CA Practitioner - OphthalmologyPractitioner - Other (Physician) 7719912179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A66153CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1386734770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7334 GIRARD AVE. #202",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-459-8224",
            "fax_number": "858-459-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7334 GIRARD AVE",
            "address_2": "#202",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375141",
            "telephone_number": "858-459-8224",
            "fax_number": "858-459-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCHABSKI",
        "first_name": "RENATA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A66153",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A66153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.