Active NPI
Calvin Peter Martindale, O.D.
- Optometrist
- Westlake Village, CA
National Provider Identifier
1619299948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8394-T
- Practice address
- 5700 Lindero Canyon Rd
Westlake Village, CA 91362-4063 - Phone
- (818) 597-0050
- Fax
- (818) 597-0234
- NPI assigned
- Mar 1, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 8394-T | CA | Primary |
Addresses
Primary practice location
5700 Lindero Canyon Rd
Westlake Village, CA 91362-4063
Mailing address
5700 Lindero Canyon Rd
Westlake Village, CA 91362-4063
Phone (818) 597-0050
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160523002106 | CA | Order and Referring Only - Optometry | 9234428798 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8394-T | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267401600000",
"number": "1619299948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 LINDERO CANYON RD",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913624063",
"telephone_number": "818-597-0050",
"fax_number": "818-597-0234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 LINDERO CANYON RD",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913624063",
"telephone_number": "818-597-0050",
"fax_number": "818-597-0234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINDALE",
"first_name": "CALVIN",
"middle_name": "PETER",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-01",
"last_updated": "2010-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "8394-T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westlake Village, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.