Matthew R. Ulibarri, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13883 Issued in CA

Practice address

2390 E Florida Ave
Ste 207
Hemet, CA 92544-4707

Phone

(951) 652-6100

NPI assigned

Nov 4, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

OptometryAlso: Ophthalmology

Education

International American University at Puerto Rico - School of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Cataract Center and Medical Group IncGroup PAC ID 8628061306, 14 clinicians

California Eye Professionals Medical Group IncGroup PAC ID 1456252279, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/imedicware_cep
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• California Cataract Center & Medical Group Inc

  • Specialist
  • Hemet, CA
  • NPI 1508815374
  Medicare reassignment Care Compare group NPD
• California Eye Professionals Medical Group Inc

  • Ophthalmology Physician
  • Temecula, CA
  • NPI 1649285008
  Medicare reassignment Care Compare group NPD
• The Mobileyes Foundation

  • Optometrist
  • Apple Valley, CA
  • NPI 1083122279
  NPD (past) Authorized official

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1457688947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 E FLORIDA AVE",
            "address_2": "STE 207",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925444707",
            "telephone_number": "951-652-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 E FLORIDA AVE",
            "address_2": "STE 207",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925444707",
            "telephone_number": "951-652-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13790 Cochise Rd",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "CA",
            "postal_code": "923076002",
            "country_code": "US",
            "telephone_number": "951-816-7338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ULIBARRI",
        "first_name": "MATTHEW",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Yu-Chih Tsai, M.D.
• Tin Tun, MD
• Michael Turnage
• Sheyvon Fullwood Turner
• Cynthia Anne Tuttle, NP
• Ultra Care
• William Jefferson Underwood Jr., MSW
• Unity Villa Homes LLC
• Universal Health Net Inland Empire
• Sandra Uribe, MS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.