Individual provider Active NPI

Patricia Ann Elbeck, RDO, RSLD,RCLD

  • Optician
  • Mission Viejo, CA
National Provider Identifier
1760809099
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
SL40066 Issued in CA
Practice address
26012 Marguerite Pkwy
Suite C
Mission Viejo, CA 92692-3263
Phone
(949) 582-3064
Fax
(949) 582-3064
NPI assigned
Mar 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X SL40066 CA Primary

Addresses

Primary practice location

26012 Marguerite Pkwy
Suite C
Mission Viejo, CA 92692-3263

Mailing address

26012 Marguerite Pkwy
Suite C
Mission Viejo, CA 92692-3263
Phone (949) 582-3064

Other names 1

  • Patrisha Ann Elbeck Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SL40066CAMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1760809099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26012 MARGUERITE PKWY",
            "address_2": "SUITE C",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926923263",
            "telephone_number": "949-582-3064",
            "fax_number": "949-582-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26012 MARGUERITE PKWY",
            "address_2": "SUITE C",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926923263",
            "telephone_number": "949-582-3064",
            "fax_number": "949-582-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELBECK",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "RDO, RSLD,RCLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "SL40066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRISHA",
            "last_name": "ELBECK",
            "middle_name": "ANN",
            "credential": "RDO,RSLD,RCLD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.