Active NPI
Shannon Olario Alturas, O.D.
- Optometrist
- West Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12898T
- Practice address
- 3658 S Nogales St
West Covina, CA 91792-2714 - Phone
- (626) 539-3543
- NPI assigned
- Apr 24, 2007
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12898T | CA | Primary |
Addresses
Primary practice location
3658 S Nogales St
West Covina, CA 91792-2714
Mailing address
3658 S Nogales St
West Covina, CA 91792-2714
Phone (626) 539-3543
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3658 S Nogales St
West Covina, CA 91792-2714
Phone (626) 461-7300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12898T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarion Optometry Group Prof Corp | Optometrist | Current | Accepting new patients |
| Dena M. Mintz, O.D., a Professional Corporation | Optometrist | Past | Accepting new patients |
| Alan Arabi O.D., Inc | Optometrist | Past | Accepting new patients |
Locations
3658 S Nogales St
West Covina, CA 91792
Phone (626) 461-7300
56970 Yucca Trl
Ste 101
Yucca Valley, CA 92284
Phone (760) 228-2020
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Yucca Valley, CA
- NPI 1639572100
-
dba Eyedeal Vision Optometry
- Optometrist
- West Covina, CA
- NPI 1912203787
-
- Optometrist
- Corona, CA
- NPI 1871973248
-
- Optometrist
- Corona, CA
- NPI 1598934267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1609095090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3658 S NOGALES ST",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917922714",
"telephone_number": "626-539-3543",
"fax_number": "866-597-7977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3658 S NOGALES ST",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917922714",
"telephone_number": "626-539-3543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTURAS",
"first_name": "SHANNON",
"middle_name": "OLARIO",
"name_prefix": "Mrs.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12898T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Covina, CA
- Altamed Health Services Corp (AltaMed Medical Group - West Covina, Amar)
- Altamed Health Services Corporation
- Altamed Health Services Corporation (AltaMed PACE - West Covina)
- Altamed Health Services Corportation
- Jasmine Altamirano
- Arturo Alvarado Jr.
- Elizabeth Alvarado
- Krystian Alvarado
- Veronica Maria Alvarado, CMT
- Arely Alvarez Rios
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.