Joanne Pamela Parungao, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13890TLG Issued in CA

Practice address

2845 Cochran St
Suite D
Simi Valley, CA 93065-2796

Phone

(805) 527-6824

Fax

(805) 527-9247

NPI assigned

Oct 24, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

New England College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vicki Leung OD a Professional CorporationGroup PAC ID 1557607900, 2 clinicians

Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Baldwin Park, CA
  • NPI 1770515280
  Medicare reassignment Care Compare group NPD
• Vicki Leung, O.D., a Professional Corporation

  • Optometrist
  • Simi Valley, CA
  • NPI 1104392091
  Medicare reassignment Care Compare group
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Northridge, CA
  • NPI 1013409036
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Santa Clarita, CA
  • NPI 1316409410
  NPD
• Eyesite-Illinois Valley, L.L.C.

  • Optometrist
  • Ottawa, IL
  • NPI 1245371509
  NPD (past)
• Eyesite-Illinois Valley, LLC

  • Optometrist
  • Spring Valley, IL
  • NPI 1477614329
  NPD (past)
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1386897130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 COCHRAN ST",
            "address_2": "SUITE D",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652796",
            "telephone_number": "805-527-6824",
            "fax_number": "805-527-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 COCHRAN ST",
            "address_2": "SUITE D",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652796",
            "telephone_number": "805-527-6824",
            "fax_number": "805-527-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARUNGAO",
        "first_name": "JOANNE",
        "middle_name": "PAMELA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-24",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13890TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "5601 De Soto Ave",
            "city": "Woodland Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913676701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jacqueline Nicole Parodi, LCSW
• Forough Parsa, M.D.
• Sarah Elizabeth Parsons, AMFT
• Douglas Partello, RRT
• Partners in ABA Solutions LLC
• Parvin D. Syal M.D. Inc
• Joshua Pasewaldt
• Klar Fulgentes Pasilaban, FNP
• Passages Hospice Care, Inc.
• Mariela V Passarelli, PHARM.D., R.PH.

• Optometrist in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.