Sabrina Dea

Primary specialty

OptometristTaxonomy code 152W00000X

License

33960TLG Issued in CA

Practice address

5030 Hamner Ave
Eastvale, CA 91752-1009

Phone

(951) 361-9092

NPI assigned

Jun 26, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

Southern California College of Optometry, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Dr Latisha Patel a Professional Optometric CorporationGroup PAC ID 0840645479, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr Latisha Patel a Professional Optometric Corporation

  • Optometrist
  • Eastvale, CA
  • NPI 1750877239
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720224000000",
    "number": "1639664295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 HAMNER AVE",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "917521009",
            "telephone_number": "626-512-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 HAMNER AVE",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "917521009",
            "telephone_number": "951-361-9092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1099 E Hospitality Ln",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924082813",
            "country_code": "US",
            "telephone_number": "909-478-5554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEA",
        "first_name": "SABRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2024-07-06",
        "certification_date": "2024-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33960TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Cuenco
• Anish Dalal
• Mina Nghi Dang
• David Picella PHD Inc
• Davita Riverside II LLC
• Dellbrook Guest Home
• Dellbrook Guest Home II
• Palak Desai
• Mark Robert Dewoskin, PHARM.D.
• Mrinal Dhar, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2024; 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.

Verify at the official NPI Registry.