Individual provider Active NPI

Meggie Castro, OD

  • Optometrist
  • Laguna Hills, CA
National Provider Identifier
1487228516
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35634 Issued in CA
Practice address
25260 La Paz Rd Ste G
Laguna Hills, CA 92653-5132
Phone
(949) 586-8200
NPI assigned
May 13, 2021
Last updated
Feb 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35634 CA Primary

Addresses

Primary practice location

25260 La Paz Rd Ste G
Laguna Hills, CA 92653-5132

Mailing address

90 Malaga
Tustin, CA 92780-5957
Phone (714) 943-3984

Other practice location 1

5460 E La Palma Ave
Anaheim, CA 92807-2023
Phone (714) 463-7500

Other practice location 2

90 Malaga
Tustin, CA 92780-5957
Phone (714) 943-3984

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
I20241126002195 CA Practitioner - Optometry 1759816820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Aaron M Sako a Professional Optometric CorpGroup PAC ID 8325105265, 5 clinicians

Practice addresses (Care Compare)

25260 La Paz Rd
Suite G
Laguna Hills, CA 92653-5132
Phone (949) 586-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35634CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Aaron M Sako a Professional Optometric Corp Optometrist CurrentSince Sep 22, 2024 Accepting new patients

Locations

25260 La Paz Rd
Ste G
Laguna Hills, CA 92653
Phone (949) 586-8200

Interoperability endpoints

  • Direct secure messaging: meggie.castro@uprisedirect.com

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, 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": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1487228516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MALAGA",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927805957",
            "telephone_number": "714-943-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25260 LA PAZ RD STE G",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535132",
            "telephone_number": "949-586-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5460 E La Palma Ave",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928072023",
            "country_code": "US",
            "telephone_number": "714-463-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 Malaga",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927805957",
            "country_code": "US",
            "telephone_number": "714-943-3984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "MEGGIE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.