Individual provider Active NPI

Dorothea Guadalupe Remark Martinez

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1447949532
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35470 Issued in CA
Practice address
1120 W Washington Blvd FL 2
Los Angeles, CA 90015-3316
Phone
(213) 789-5030
NPI assigned
May 3, 2023
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 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 35470 CA Primary

Addresses

Primary practice location

1120 W Washington Blvd FL 2
Los Angeles, CA 90015-3316

Mailing address

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

Other names 1

  • Guadalupe Remark Other name

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
I20240923001251 CA Practitioner - Optometry 5496296022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden Ardaya and Lin Optometry IncGroup PAC ID 2961667399, 18 clinicians

Practice addresses (Care Compare)

1026 W W Covina Pkwy
Suite B
West Covina, CA 91790-8212
Phone (626) 962-5868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35470CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Eye Specialists Medical Group, Inc Current Accepting new patients
Golden Ardaya & Lin Optometry Inc Optometrist CurrentSince Feb 23, 2026 Accepting new patients
Tedder Optometry Group, PC Optometrist Past Accepting new patients
Eyecare Specialists Medical Group, Inc Optometrist Past Accepting new patients

Locations

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

1120 W Washington Blvd
Fl 2
Los Angeles, CA 90015
Phone (213) 789-5030

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

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

1026 W West Covina Pkwy
Ste B
West Covina, CA 91790
Phone (626) 593-4234

11245 Washington Blvd
Whittier, CA 90606
Phone (562) 692-1208

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dorothea.martinez.p1@direct.atlantiseyecare.nextgenshare.com
  • Direct secure messaging: dremarkmartinez@californiaeye.intellechartdirect.net

Organizations & group practices 4

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": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1447949532",
    "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": "1120 W WASHINGTON BLVD FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153316",
            "telephone_number": "213-789-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMARK MARTINEZ",
        "first_name": "DOROTHEA",
        "middle_name": "GUADALUPE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-03",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GUADALUPE",
            "last_name": "REMARK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.