Individual provider Active NPI

Marites Melchor Salazar, O.D.

  • Optometrist
  • Marysville, CA
National Provider Identifier
1750699476
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14046 Issued in CA
Practice address
1131 N Beale Rd
Marysville, CA 95901-6107
Phone
(530) 743-8792
NPI assigned
Sep 15, 2010
Last updated
Mar 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14046 CA Primary

Addresses

Primary practice location

1131 N Beale Rd
Marysville, CA 95901-6107

Mailing address

1131 N Beale Rd
Marysville, CA 95901-6107
Phone (530) 743-8792

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
I20110916000126 CA Practitioner - Optometry 1951572221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avani Patel Optometric CorporationGroup PAC ID 1052780632, 12 clinicians

Practice addresses (Care Compare)

5345 Sunrise Blvd
Suite B
Fair Oaks, CA 95628-3547
Phone (510) 731-7873

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Third Optometric Care of California Optometrist Current Accepting new patients
First Optometric Care of Northern California PC Optometrist CurrentSince Jan 31, 2022 Accepting new patients
Third Optometric Care of California PC Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Third Optometric Care of California PC Optometrist CurrentSince Jul 1, 2024 Accepting new patients
First Optometric Care of Northern California PC Optometrist CurrentSince Jan 31, 2022 Accepting new patients
Avani Patel Optometric Corporation Optometrist CurrentSince Dec 15, 2025 Accepting new patients
Third Optometric Care of California Optometrist Past Accepting new patients
First Optometric Care of Northern California PC Optometrist Past Accepting new patients
First Optometric Care of Northern California PC Optometrist Past Accepting new patients
Third Optometric Care of California PC Optometrist Past Accepting new patients

Locations

4810 Elk Grove Blvd
Ste 160
Elk Grove, CA 95758
Phone (916) 478-2778

11733 Fair Oaks Blvd
Fair Oaks, CA 95628
Phone (916) 966-6080

5345 Sunrise Blvd
Ste B
Fair Oaks, CA 95628
Phone (510) 731-7873

4983 N Blackstone Ave
Fresno, CA 93726
Phone (510) 731-7873

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

100 S Harding Blvd
Roseville, CA 95678
Phone (916) 783-8109

400 O St
Ste 102
Sacramento, CA 95814
Phone (916) 443-3524

5777 Greenback Ln
Ste 100
Sacramento, CA 95841
Phone (916) 231-0034

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1750699476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 N BEALE RD",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959016107",
            "telephone_number": "530-743-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 N BEALE RD",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959016107",
            "telephone_number": "530-743-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "MARITES",
        "middle_name": "MELCHOR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, CA

Sources for this page

Verify at the official NPI Registry.