Individual provider Active NPI

Andreea Nastasoiu, OD

  • Optometrist
  • National City, CA
National Provider Identifier
1487209268
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34292TLG Issued in CA
Practice address
1481 E Plaza Blvd
National City, CA 91950-3613
Phone
(619) 477-2159
NPI assigned
Aug 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34292TLG CA Primary

Addresses

Primary practice location

1481 E Plaza Blvd
National City, CA 91950-3613

Mailing address

1481 E Plaza Blvd
National City, CA 91950-3613
Phone (619) 477-2159

Other practice location 1

1741 Eastlake Pkwy Ste 101
Chula Vista, CA 91915-2032
Phone (619) 421-6600

Other practice location 2

14757 Pomerado Rd
Poway, CA 92064-2802
Phone (858) 842-3006

Other practice location 3

2907 Jamacha Rd Ste A
El Cajon, CA 92019-4342
Phone (619) 660-0272

Other practice location 4

687 Sweetwater Rd
Spring Valley, CA 91977-5628
Phone (619) 466-9444

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
I20191002002373 CA Practitioner - Optometry 2466782594 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meredith Walton OD Optometric CorporationGroup PAC ID 4183997513, 5 clinicians

Practice addresses (Care Compare)

3404 Adams Ave
San Diego, CA 92116-2428
Phone (619) 431-5393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34292CAMDSports Physician Chiropractor
34292TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Keddington & Kalra Optometrists Apc Optometrist Current Accepting new patients
Michelle King OD Inc a Professional Corporation Optometrist CurrentSince Aug 25, 2019 Accepting new patients
Keddington & Kalra Optometrists Apc Optometrist CurrentSince Aug 25, 2019 Accepting new patients
Meredith Walton OD, Optometric Corporation Optometrist CurrentSince Jul 1, 2022 Accepting new patients
Heights Optometry Optometrist PastSince Jul 1, 2022 Accepting new patients

Locations

1741 Eastlake Pkwy
Ste 101
Chula Vista, CA 91915
Phone (619) 421-6600

2907 Jamacha Rd
#A
El Cajon, CA 92019
Phone (619) 660-0272

8321 La Mesa Blvd
La Mesa, CA 91942
Phone (619) 550-0403

1481 E Plaza Blvd
National City, CA 91950
Phone (619) 477-2159

14757 Pomerado Rd
Poway, CA 92064
Phone (858) 842-3006

3068 University Ave
San Diego, CA 92104
Phone (619) 298-5524

3404 Adams Ave
San Diego, CA 92116
Phone (619) 431-5393

687 Sweetwater Rd
Spring Valley, CA 91977
Phone (619) 466-9444

Organizations & group practices 5

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": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1487209268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1481 E PLAZA BLVD",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919503613",
            "telephone_number": "619-477-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 E PLAZA BLVD",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919503613",
            "telephone_number": "619-477-2159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1741 Eastlake Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919152032",
            "country_code": "US",
            "telephone_number": "619-421-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14757 Pomerado Rd",
            "address_purpose": "LOCATION",
            "city": "Poway",
            "state": "CA",
            "postal_code": "920642802",
            "country_code": "US",
            "telephone_number": "858-842-3006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2907 Jamacha Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920194342",
            "country_code": "US",
            "telephone_number": "619-660-0272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "687 Sweetwater Rd",
            "address_purpose": "LOCATION",
            "city": "Spring Valley",
            "state": "CA",
            "postal_code": "919775628",
            "country_code": "US",
            "telephone_number": "619-466-9444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASTASOIU",
        "first_name": "ANDREEA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34292TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

Verify at the official NPI Registry.