Individual provider Active NPI

Stella Ma, O.D.

  • Optometrist
  • Hermosa Beach, CA
National Provider Identifier
1508427345
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34283TLG Issued in CA
Practice address
703 Pier Ave Ste C
Hermosa Beach, CA 90254-3958
Phone
(310) 374-9899
Fax
(310) 376-1195
NPI assigned
Jun 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34283TLG CA Primary

Addresses

Primary practice location

703 Pier Ave Ste C
Hermosa Beach, CA 90254-3958

Mailing address

703 Pier Ave Ste C
Hermosa Beach, CA 90254-3958
Phone (310) 374-9899

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
I20191112002981 CA Practitioner - Optometry 2163854134 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34283TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Elements Optometry P.C. Optometrist CurrentSince Sep 19, 2025 Accepting new patients
Robert Scott Kapust OD Inc Optometrist CurrentSince Sep 19, 2025 Accepting new patients

Locations

703 Pier Ave
Ste C
Hermosa Beach, CA 90254
Phone (310) 374-9899

Organizations & group practices 2

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": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1508427345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 PIER AVE STE C",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543958",
            "telephone_number": "310-374-9899",
            "fax_number": "310-376-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 PIER AVE STE C",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543958",
            "telephone_number": "310-374-9899",
            "fax_number": "310-376-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "STELLA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34283TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermosa Beach, CA

Sources for this page

Verify at the official NPI Registry.