Organization Active NPI

Solana Beach Family Optometry

  • Optometrist
  • Solana Beach, CA
National Provider Identifier
1578815346
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT10955TPA Issued in CA
Legal business name
SOLANA BEACH FAMILY OPTOMETRY
Practice address
977 Lomas Santa Fe Dr
Suite B
Solana Beach, CA 92075-2138
Phone
(858) 259-8239
Fax
(858) 259-8317
NPI assigned
Oct 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Authorized official

Name
Kristin Marie Peterson-Salgado, O.D.NPI 1174743868
Title
Optometry Doctor
Phone
(858) 259-8239

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT10955TPA CA Primary

Addresses

Primary practice location

977 Lomas Santa Fe Dr
Suite B
Solana Beach, CA 92075-2138

Mailing address

977 Lomas Santa Fe Dr
Suite B
Solana Beach, CA 92075-2138
Phone (858) 259-8239

National Provider Directory

National Provider Directory

Locations

977 Lomas Santa Fe Dr
Ste B
Solana Beach, CA 92075
Phone (858) 259-8239

977 Lomas Santa Fe Dr
Solana Beach, CA 92075

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1578815346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "977 LOMAS SANTA FE DR",
            "address_2": "SUITE B",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752138",
            "telephone_number": "858-259-8239",
            "fax_number": "858-259-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977 LOMAS SANTA FE DR",
            "address_2": "SUITE B",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752138",
            "telephone_number": "858-259-8239",
            "fax_number": "858-259-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLANA BEACH FAMILY OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-03",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "PETERSON-SALGADO",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OPTOMETRY DOCTOR",
        "authorized_official_telephone_number": "858-259-8239",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT10955TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solana Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.