Individual provider Active NPI

James C Espinosa, O.D.

  • Optometrist
  • Highland, CA
National Provider Identifier
1396800231
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9876T Issued in CA
Practice address
27949 Greenspot Rd
Suite F
Highland, CA 92346-4443
Phone
(909) 425-2020
Fax
(909) 425-2237
NPI assigned
Dec 22, 2006
Last updated
Feb 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9876T CA Primary

Addresses

Primary practice location

27949 Greenspot Rd
Suite F
Highland, CA 92346-4443

Mailing address

27949 Greenspot Rd
Suite F
Highland, CA 92346-4443
Phone (909) 425-2020

Other identifiers 1

IdentifierTypeStateIssuer
SD0098760MedicaidCA

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
I20050922001113 CA Practitioner - Optometry 2466486063 Practice locations: Highland, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9876TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
James Espinosa O.D. Optometrist CurrentSince Jan 1, 1990 Accepting new patients

Locations

27949 Greenspot Rd
Ste F
Highland, CA 92346
Phone (909) 425-2020

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1396800231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27949 GREENSPOT RD",
            "address_2": "SUITE F",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923464443",
            "telephone_number": "909-425-2020",
            "fax_number": "909-425-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27949 GREENSPOT RD",
            "address_2": "SUITE F",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923464443",
            "telephone_number": "909-425-2020",
            "fax_number": "909-425-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINOSA",
        "first_name": "JAMES",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9876T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0098760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, CA

Sources for this page

Verify at the official NPI Registry.