Jim Roland Caballero, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8936T Issued in CA

Practice address

12661 Glenoaks Blvd
Sylmar, CA 91342-4748

Phone

(818) 367-2171

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• James Roland Caballero Professional name

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

Practice roles

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.

• Craig Whitmer Hoeft, O.D.

  • Optometrist
  • Sylmar, CA
  • NPI 1942360276
  Medicare reassignment
• Craig W Hoeft

  • Corneal and Contact Management Optometrist
  • Sylmar, CA
  • NPI 1669514634
  NPD (past)
• Providence Facey Medical Foundation

  • Multi-Specialty Clinic/Center
  • Irvine, CA
  • NPI 1891348447
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1740360742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28523 APPLEWOOD LN",
            "city": "CASTAIC",
            "state": "CA",
            "postal_code": "913844339",
            "telephone_number": "661-295-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12661 GLENOAKS BLVD",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913424748",
            "telephone_number": "818-367-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALLERO",
        "first_name": "JIM",
        "middle_name": "ROLAND",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8936T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "CABALLERO",
            "middle_name": "ROLAND",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Marrianne Buccat
• Robert Lee Buckland, MFT
• Fredi Bustos Mateo, PTA
• Michael Butler, MD
• Paul Buzad, MD
• Klein Dominique Cabral
• Claudia Perez Cabrera
• Rachel Elizabeth Cain
• Susan Elizabeth Calder, MD
• Elizabeth Caldera Marquez

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.