Rebecca M. Maravilla, OD, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

9041T Issued in CA

Legal business name

REBECCA M. MARAVILLA, OD, INC.

Practice address

781 S. Weir Canyon Road
Suite 195
Anaheim, CA 92808

Phone

(714) 282-2888

Fax

(714) 282-2971

NPI assigned

Oct 22, 2009

Organization subpart

No

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

Authorized official

Name

Rebecca Marcia Maravilla, O.D.

Title

President

Phone

(714) 282-2888

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anne C Kang, O.D.

  • Optometrist
  • National City, CA
  • NPI 1780727875
  NPD (past)
• Jarom B. Partridge, O.D.

  • Optometrist
  • Anaheim, CA
  • NPI 1306213046
  NPD (past)

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1437485653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 S. WEIR CANYON ROAD",
            "address_2": "SUITE 195",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92808",
            "telephone_number": "714-282-2888",
            "fax_number": "714-282-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 S. WEIR CANYON ROAD",
            "address_2": "SUITE 195",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92808",
            "telephone_number": "714-282-2888",
            "fax_number": "714-282-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA M. MARAVILLA, OD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "MARAVILLA",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "MARCIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-282-2888",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9041T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rbde, Professional Medical Corporation
• Danielle Reale, R.N.F.A.
• Matthew Reardon, RN
• Nicole Reaves, MS, OTR/L, CHT
• Monika Anna Rebalska, P.T.
• Rebel New Life Treatment Center, LLC.
• Rebel Recovery Center
• Danae Erica Rebensdorf, AMFT
• Peggy Jane Rebollar
• Rebecca Marie Rebstad-Peek, LVN

• Optometrist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.