Rebecca Stapornkul, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

34885TLG Issued in CA

Practice address

8330 Castano PL
Sun Valley, CA 91352-3805

Phone

(818) 534-6604

NPI assigned

Jul 16, 2020

Sex

Female

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment NPD
• Andrew Calman, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • San Francisco, CA
  • NPI 1447322169
  Medicare reassignment
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Stockton, CA
  • NPI 1548343510
  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1457969446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8330 CASTANO PL",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913523805",
            "telephone_number": "818-534-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8330 CASTANO PL",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913523805",
            "telephone_number": "818-534-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPORNKUL",
        "first_name": "REBECCA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34885TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Small, LCSW
• Morgan Southard
• Special Choice Hospice Inc
• Sport Central Osteopathic, a Medical Corporation (Sport-Central Healthcare)
• St Medical Group
• Star Medical Laboratory Inc
• Starco Trans Inc.
• Vazgen Stepanosyan, MD
• Amber Stephan, R1199550415
• Nancy Stewart

• Optometrist in Sun Valley, CA
• Providers in Sun Valley, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.