Michael James Molamphy, O.D..

Primary specialty

OptometristTaxonomy code 152W00000X

License

6751 TPA Issued in CA

Practice address

1746 Grand Canal Blvd Ste 15
Stockton, CA 95207-8111

Phone

(209) 957-2110

Fax

(209) 472-9522

NPI assigned

Feb 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1609903848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1746 GRAND CANAL BLVD STE 15",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952078111",
            "telephone_number": "209-957-2110",
            "fax_number": "209-472-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1746 GRAND CANAL BLVD STE 15",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952078111",
            "telephone_number": "209-957-2110",
            "fax_number": "209-472-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLAMPHY",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "credential": "O.D..",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6751 TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0067510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Baseer Mohiuddin, DO
• Judy Lopez Mojica, DDS
• Rosaura Mojica
• Vincent S Mojica
• Sreya Molakalapalli, MBBS, MPH
• Sonya Diane Molina Eliab
• Josephine Molina-Boylan
• Alexa Saray Molina
• Celina Molina
• Emily Rose Molina

• Optometrist in Stockton, CA
• Providers in Stockton, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.