Individual provider Active NPI

Guadalupe Rocha, OD

  • Optometrist
  • Riverside, CA
National Provider Identifier
1407497076
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34684TLG Issued in CA
Practice address
6900 Brockton Ave Ste 203
Riverside, CA 92506-3818
Phone
(951) 682-4353
NPI assigned
Oct 3, 2019
Last updated
Jul 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 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 34684TLG CA Primary

Addresses

Primary practice location

6900 Brockton Ave Ste 203
Riverside, CA 92506-3818

Mailing address

14726 Ramona Ave Ste 203
Chino, CA 91710-5730
Phone (626) 305-9100

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
I20211129001072 CA Practitioner - Optometry 8921498320 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Eye Specialists Medical Group IncGroup PAC ID 6800793381, 26 clinicians
Azul Vision IncGroup PAC ID 2264851740, 49 clinicians

Practice addresses (Care Compare)

2619 E Colorado Blvd
Suite 150
Pasadena, CA 91107-3747
Phone (626) 793-4168

4351 Latham St
Suite 101
Riverside, CA 92501-1749
Phone (951) 777-2210

81767 Doctor Carreon Blvd
Suite 101
Indio, CA 92201-5598
Phone (760) 396-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34684TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Azul Vision Inc. Optometrist CurrentSince Jun 12, 2024 Accepting new patients
California Eye Specialists Medical Group, Inc CurrentSince Jul 19, 2021 Accepting new patients
Advanced Family Vision Center Optometry Optometrist PastSince May 1, 2021 Accepting new patients
Eyecare Specialists Medical Group, Inc Optometrist Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Locations

947 S Anaheim Blvd
Ste 120
Anaheim, CA 92805
Phone (714) 821-4666

14726 Ramona Ave
Ste 203
Chino, CA 91710
Phone (626) 305-9100

12442 Limonite Ave
Unit 203
Eastvale, CA 91752
Phone (951) 821-5188

7677 Center Ave
Ste 301
Huntington Beach, CA 92647
Phone (714) 901-2004

81767 Doctor Carreon Blvd
Ste 101
Indio, CA 92201
Phone (760) 342-5268

2600 Redondo Ave
Ste 203
Long Beach, CA 90806
Phone (562) 496-3600

2619 E Colorado Blvd
#150
Pasadena, CA 91107
Phone (626) 305-9100

9170 Haven Ave
Ste 102
Rch Cucamonga, CA 91730
Phone (909) 440-1014

1845 W Redlands Blvd
Ste 101
Redlands, CA 92373
Phone (909) 363-1450

4351 Latham St
#101
Riverside, CA 92501

6900 Brockton Ave
Ste 203
Riverside, CA 92506
Phone (951) 682-4353

1595 E 17th St
Santa Ana, CA 92705
Phone (323) 728-7998

399 E Highland Ave
Ste 401
Sn Bernrdno, CA 92404
Phone (909) 327-3118

494 N Mountain Ave
Upland, CA 91786
Phone (909) 552-7200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: guadalupe.rocha.p1@direct.atlantiseyecare.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1407497076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14726 RAMONA AVE STE 203",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105730",
            "telephone_number": "626-305-9100",
            "fax_number": "626-305-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 BROCKTON AVE STE 203",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063818",
            "telephone_number": "951-682-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHA",
        "first_name": "GUADALUPE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34684TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.