Individual provider Active NPI

John Michael Fitzgerald, OD

  • Optometrist
  • Santa Clarita, CA
National Provider Identifier
1801861182
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5387T Issued in CA
Practice address
19000 Soledad Cyn Rd
Santa Clarita, CA 91351-3362
Phone
(661) 252-5111
Fax
(661) 251-5323
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5387T CA Primary

Addresses

Primary practice location

19000 Soledad Cyn Rd
Santa Clarita, CA 91351-3362

Mailing address

19000 Soledad Cyn Rd
Santa Clarita, CA 91351-3362
Phone (661) 252-5111

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
I20140225000544 CA Practitioner - Optometry 9436389129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.12 of 100Reported as group
Quality
96.62
Improvement activities
40
Cost
42.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5387TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Kenneth L Weiner Optometrist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1801861182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19000 SOLEDAD CYN RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913513362",
            "telephone_number": "661-252-5111",
            "fax_number": "661-251-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19000 SOLEDAD CYN RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913513362",
            "telephone_number": "661-252-5111",
            "fax_number": "661-251-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5387T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.