Active NPI
David Paul Espinosa, O.D.
- Optometrist
- El Centro, CA
National Provider Identifier
1457357220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6024T
- Practice address
- 828 N Imperial Ave
El Centro, CA 92243-1916 - Phone
- (760) 352-7460
- Fax
- (760) 352-7017
- NPI assigned
- Jun 24, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6024T | CA | Primary |
Addresses
Primary practice location
828 N Imperial Ave
El Centro, CA 92243-1916
Mailing address
828 N Imperial Ave
El Centro, CA 92243-1916
Phone (760) 352-7460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457357220 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6024T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imperial Valley Optometric Corporation | Optometrist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Optometrist
- El Centro, CA
- NPI 1316950207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320710400000",
"number": "1457357220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "828 N IMPERIAL AVE",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922431916",
"telephone_number": "760-352-7460",
"fax_number": "760-352-7017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "828 N IMPERIAL AVE",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922431916",
"telephone_number": "760-352-7460",
"fax_number": "760-352-7017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESPINOSA",
"first_name": "DAVID",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2011-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "6024T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1457357220",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Centro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.