Individual provider Active NPI

Maria Magana, OD

  • Optometrist
  • Salinas, CA
National Provider Identifier
1588070569
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15324 Issued in CA
Practice address
950 Circle Dr
Salinas, CA 93905
Phone
(831) 757-1264
Fax
(831) 757-4812
NPI assigned
Jul 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8466T TX
Optometrist 152W00000X 15324 CA Primary

Addresses

Primary practice location

950 Circle Dr
Salinas, CA 93905

Mailing address

950 Circle Dr
Salinas, CA 93905-2150
Phone (831) 757-1264

Other practice location 1

505 J Davis Armistead Bldg
Houston, TX 77204-2020
Phone (713) 743-2020

Other identifiers 1

IdentifierTypeStateIssuer
1124091-04MedicaidTX

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
I20160509001098 CA Practitioner - Optometry 7618197328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinica de Salud del Valle de SalinasGroup PAC ID 3678513736, 34 clinicians

Practice addresses (Care Compare)

2180 N Main St
Salinas, CA 93906-1735
Phone (831) 443-2190

219 N Sanborn Rd
Salinas, CA 93905-2218
Phone (831) 757-1365

950 Circle Dr
Salinas, CA 93905-2150
Phone (831) 757-6237

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15324CAMDOptometrist
8466TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica de Salud del Valle de Salinas Current Accepting new patients
Clinica de Salud del Valle de Salinas CurrentSince Nov 1, 2024 Accepting new patients

Locations

950 Circle Dr
Salinas, CA 93905
Phone (831) 757-1264

55 Plaza Cir
Ste A
Salinas, CA 93901
Phone (831) 757-0434

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": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1588070569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 CIRCLE DR",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939052150",
            "telephone_number": "831-757-1264",
            "fax_number": "831-757-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 CIRCLE DR",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "93905",
            "telephone_number": "831-757-1264",
            "fax_number": "831-757-4812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 J Davis Armistead Bldg",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "772042020",
            "country_code": "US",
            "telephone_number": "713-743-2020",
            "fax_number": "713-743-0963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGANA",
        "first_name": "MARIA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8466T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124091-04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.