Individual provider Active NPI

Rudolph Garcia Alanis, O.D.

  • Optometrist
  • Palm Desert, CA
National Provider Identifier
1770612699
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT12788TPL Issued in CA
Practice address
44139 Monterey Ave Ste a
Palm Desert, CA 92260-8700
Phone
(760) 469-5195
Fax
(760) 779-0801
NPI assigned
Mar 5, 2007
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT12788TPL CA Primary

Addresses

Primary practice location

44139 Monterey Ave Ste a
Palm Desert, CA 92260-8700

Mailing address

10768 Nutmeg Cir
Fontana, CA 92337-7653
Phone (714) 473-7449

Other practice location 1

648 N Park Ave
Pomona, CA 91768-3621
Phone (909) 622-3531

Other practice location 2

11525 Brookshire Ave Ste 201A
Downey, CA 90241-4985
Phone (562) 862-6200

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
I20081222000343 CA Practitioner - Optometry 4880756022 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ramin Tayani MD IncGroup PAC ID 3274541826, 15 clinicians

Practice addresses (Care Compare)

380 W Central Ave
Suite 300
Brea, CA 92821-3066
Phone (949) 489-2218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT12788TPLCAMDOptometrist
12788CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ayaz O Khan Inc CurrentSince May 22, 2022 Accepting new patients
Retina Institute of California Medical Group, a California Medical Par Optometrist CurrentSince Feb 25, 2025 Accepting new patients
Retina Institute of California Medical Group, a California Medical Par Optometrist Past Accepting new patients

Locations

500 S Anaheim Hills Rd
Ste 234
Anaheim, CA 92807
Phone (714) 282-5437

9500 Stockdale Hwy
Ste 108
Bakersfield, CA 93311
Phone (661) 663-8500

116 N Plaza St
Brawley, CA 92227
Phone (760) 344-4330

11525 Brookshire Ave
Downey, CA 90241
Phone (562) 861-0954

11525 Brookshire Ave
Ste 201A
Downey, CA 90241
Phone (562) 862-6200

1420 Ocotillo Dr
El Centro, CA 92243
Phone (760) 353-1140

44139 Monterey Ave
Ste A
Palm Desert, CA 92260
Phone (760) 469-5195

648 N Park Ave
Pomona, CA 91768
Phone (909) 622-3531

6906 Brockton Ave
Ste 6
Riverside, CA 92506
Phone (951) 784-8373

58471 29 Palms Hwy
Ste 203
Yucca Valley, CA 92284
Phone (760) 365-7651

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1770612699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10768 NUTMEG CIR",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923377653",
            "telephone_number": "714-473-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44139 MONTEREY AVE STE A",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922608700",
            "telephone_number": "760-469-5195",
            "fax_number": "760-779-0801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "648 N Park Ave",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917683621",
            "country_code": "US",
            "telephone_number": "909-622-3531",
            "fax_number": "909-622-4897",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11525 Brookshire Ave Ste 201A",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "902414985",
            "country_code": "US",
            "telephone_number": "562-862-6200",
            "fax_number": "562-862-6233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALANIS",
        "first_name": "RUDOLPH",
        "middle_name": "GARCIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT12788TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.