Dr Latisha Patel a Professional Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR LATISHA PATEL A PROFESSIONAL OPTOMETRIC CORPORATION

Practice address

5030 Hamner Ave
Eastvale, CA 91752-1009

Phone

(951) 361-9092

NPI assigned

Jul 8, 2018

Organization subpart

No

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

Authorized official

Name

Latisha Patel, ODNPI 1386026102

Title

President

Phone

(951) 361-9092

Specialties & licenses 1

Addresses

Other names 1

• Dr. Latisha Patel, O.D. & Associates Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Latisha Patel, O.D.

  • Optometrist
  • Burbank, CA
  • NPI 1386026102
  Medicare reassignment Care Compare group NPD Authorized official
• Sabrina Dea

  • Optometrist
  • Eastvale, CA
  • NPI 1639664295
  Medicare reassignment Care Compare group NPD
• Roshiny Elsy Mathew, OD

  • Optometrist
  • Eastvale, CA
  • NPI 1922671254
  Medicare reassignment Care Compare group NPD
• Arya Saidi, OD

  • Optometrist
  • Lake Forest, CA
  • NPI 1396475125
  Medicare reassignment Care Compare group NPD
• Angel R Barajas, OD

  • Optometrist
  • Pomona, CA
  • NPI 1457825788
  Medicare reassignment NPD

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

{
    "created_epoch": "1531008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1750877239",
    "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"
        },
        {
            "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": [],
    "basic": {
        "organization_name": "DR LATISHA PATEL A PROFESSIONAL OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-08",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "LATISHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-361-9092",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Latisha Patel, O.D. & Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Quang DO, DC
• Peter Dung-Quoc Doan, MD
• Arvin John Liwag Domingo
• Robert Anthony Dominguez, MSW, LCSW
• Monique Dozier, LCSW
• Wanting Du
• DV Urgent Care Medical Group, Inc.
• Eastvale Academy Inc
• Eastvale Adhc Inc.
• Eastvale Congregate Care

• 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 Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.