Individual provider Active NPI

Marta A Recasens, M. D.

  • Ophthalmology Physician
  • Glendale, CA
National Provider Identifier
1467541508
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A69115 Issued in CA
Practice address
1111 N Brand Blvd Ste 320
Glendale, CA 91202-3071
Phone
(818) 552-2140
Fax
(818) 237-3628
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A69115 CA Primary

Addresses

Primary practice location

1111 N Brand Blvd Ste 320
Glendale, CA 91202-3071

Mailing address

1111 N Brand Blvd
Ste 320
Glendale, CA 91202-3071
Phone (818) 552-2140

Other identifiers 2

IdentifierTypeStateIssuer
00A691150MedicaidCA
A69115OtherCAMEDICAL LIC #

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040903001061 CA Practitioner - Ophthalmology 3870569445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1111 N Brand Blvd
Suite 320
Glendale, CA 91202-3071
Phone (818) 552-2140

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A69115CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marta a Recasens MD a Professional Medical Corporation Ophthalmology CurrentSince Sep 1, 2004 Accepting new patients
Dignity Health Past Accepting new patients
Advanced Retina Associates Medical Group, Inc Ophthalmology Past Accepting new patients
Oxnard Eye Associates Medical Group, Inc. Ophthalmology Past Accepting new patients
Glendale Adventist Medical Center Ophthalmology Past Accepting new patients
White Memorial Medical Center Past Accepting new patients

Locations

1025 N Brand Blvd
Ste 200
Glendale, CA 91202
Phone (818) 230-2140

1111 N Brand Blvd
Ste 320
Glendale, CA 91202
Phone (626) 440-9920

500 N Central Ave
Ste 400
Glendale, CA 91203
Phone 8184765107201

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/doctorsoft_advancedretinaassociates

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1467541508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N BRAND BLVD",
            "address_2": "STE 320",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023071",
            "telephone_number": "818-552-2140",
            "fax_number": "818-237-3628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N BRAND BLVD STE 320",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023071",
            "telephone_number": "818-552-2140",
            "fax_number": "818-237-3628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECASENS",
        "first_name": "MARTA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-03-07",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A69115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A691150",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LIC #",
            "identifier": "A69115",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.