Individual provider Active NPI

Jesus Ramon Merino, O.D.

  • Optometrist
  • Paramount, CA
National Provider Identifier
1609130624
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14412 Issued in CA
Practice address
14905 Paramount Blvd Ste E
Paramount, CA 90723-3440
Phone
(174) 996-1136
Fax
(714) 996-0793
NPI assigned
Jun 25, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14412 CA Primary

Addresses

Primary practice location

14905 Paramount Blvd Ste E
Paramount, CA 90723-3440

Mailing address

14905 Paramount Blvd Ste E
Paramount, CA 90723-3440
Phone (562) 633-6046

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
I20121206000286 CA Practitioner - Optometry 3971755513 Practice locations: Bellflower, CA; Paramount, CA; Placentia, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Paramount Family Optometry Optometrist CurrentSince Mar 29, 2020 Accepting new patients
Michael P de Carlo Optometrist Inc PastSince Jul 31, 2018 Accepting new patients
Jimmy K. Lee, M.D. Inc. Past Accepting new patients
Paramount Family Vision Center Optometrist PastSince Mar 29, 2020 Accepting new patients
Alvin Arellano, O.D., Inc. PastSince Oct 1, 2014 Accepting new patients

Locations

14905 Paramount Blvd
Ste E
Paramount, CA 90723
Phone (562) 633-6046

Organizations & group practices 5

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": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1609130624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14905 PARAMOUNT BLVD STE E",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907233440",
            "telephone_number": "562-633-6046",
            "fax_number": "562-633-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14905 PARAMOUNT BLVD STE E",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907233440",
            "telephone_number": "174-996-1136",
            "fax_number": "714-996-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERINO",
        "first_name": "JESUS",
        "middle_name": "RAMON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramount, CA

Sources for this page

Verify at the official NPI Registry.