Sally Yong Corvacho

Primary specialty

OptometristTaxonomy code 152W00000X

License

35011 Issued in CA

Practice address

16290 Redwood St
Fountain Valley, CA 92708-1530

Phone

(714) 726-0570

NPI assigned

Feb 4, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern California College of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gregg Feinerman, M.D., Inc.Group PAC ID 2365470945, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.72 of 100Reported as group

Quality

97.81

Improvement activities

40

Cost

81.99

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gregg Feinerman, M.D., Inc.

  • Specialist
  • Newport Beach, CA
  • NPI 1871665869
  Medicare reassignment Care Compare group NPD
• Hoag Memorial Hospital Presbyterian

  • General Acute Care Hospital
  • Newport Beach, CA
  • NPI 1518951300
  NPD (past)

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635033600000",
    "number": "1568093938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16290 REDWOOD ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081530",
            "telephone_number": "714-726-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16290 REDWOOD ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081530",
            "telephone_number": "714-726-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORVACHO",
        "first_name": "SALLY",
        "middle_name": "YONG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2021-10-24",
        "certification_date": "2021-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Corral, CMT
• Jerrel S Cortel
• Jacqueline Cortes
• Jaileene Priscilla Cortes
• Ramona Cortez Rodriguez
• Cosmetic Dentistry Center
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Heidi Cottle, MFT

• Optometrist in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.