Individual provider Active NPI

Donna Felix Madlangbayan, O.D.

  • Optometrist
  • Hayward, CA
National Provider Identifier
1669434692
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10541T Issued in CA
Practice address
31119 Mission Blvd
Hayward, CA 94544-7603
Phone
(510) 471-1234
Fax
(510) 471-7414
NPI assigned
Apr 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10541T CA Primary

Addresses

Primary practice location

31119 Mission Blvd
Hayward, CA 94544-7603

Mailing address

31119 Mission Blvd
Hayward, CA 94544-7603
Phone (510) 471-1234

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
I20040628000532 CA Practitioner - Optometry 9335125087 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10541TCAMDOptometrist
10541CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fremont Family Eyecare Optometrist CurrentSince Jun 24, 2004 Accepting new patients

Organizations & group practices 1

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1669434692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31119 MISSION BLVD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945447603",
            "telephone_number": "510-471-1234",
            "fax_number": "510-471-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31119 MISSION BLVD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945447603",
            "telephone_number": "510-471-1234",
            "fax_number": "510-471-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADLANGBAYAN",
        "first_name": "DONNA",
        "middle_name": "FELIX",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10541T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

Verify at the official NPI Registry.