Active NPI
Applied Medical Photonic Inc
- Ophthalmology Physician
- Rancho Cordova, CA
National Provider Identifier
1558816348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G60544
- Legal business name
- APPLIED MEDICAL PHOTONIC INC
- Practice address
- 11216 Trinity River Dr
Rancho Cordova, CA 95670-2968 - Phone
- (916) 635-6161
- NPI assigned
- Aug 22, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Martel, MD
- Title
- Ceo
- Phone
- (916) 717-3670
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G60544 | CA | Primary |
Addresses
Primary practice location
11216 Trinity River Dr
Rancho Cordova, CA 95670-2968
Mailing address
11141 Nile River CT
Rancho Cordova, CA 95670-2941
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Rancho Cordova, CA
- NPI 1851312300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471824000000",
"number": "1558816348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11141 NILE RIVER CT",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956702941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11216 TRINITY RIVER DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956702968",
"telephone_number": "916-635-6161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APPLIED MEDICAL PHOTONIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-22",
"last_updated": "2016-08-22",
"status": "A",
"authorized_official_last_name": "MARTEL",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "916-717-3670",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "CA",
"license": "G60544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cordova, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.