Individual provider Active NPI

Sandy T Feldman, M.D,

  • Ophthalmology Physician
  • San Diego, CA
National Provider Identifier
1821284092
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G057688 Issued in CA
Practice address
6255 Lusk Blvd
Ste 100
San Diego, CA 92121-3763
Phone
(858) 452-3937
Fax
(858) 452-3933
NPI assigned
Sep 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G057688 CA Primary

Addresses

Primary practice location

6255 Lusk Blvd
Ste 100
San Diego, CA 92121-3763

Mailing address

PO Box 2530
Del Mar, CA 92014-1830
Phone (858) 452-3937

Other identifiers 1

IdentifierTypeStateIssuer
00G576881MedicaidCA

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120227000582 CA Practitioner - Ophthalmology 5597923276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rush Medical College of Rush University, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6255 Lusk Blvd
Suite 100
San Diego, CA 92121-3763
Phone (858) 452-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G057688CAMDOphthalmology Physician
57688CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Clearview Eye & Laser Medical Center a Professional Corporation Ophthalmology CurrentSince Nov 1, 1997 Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

6255 Lusk Blvd
Ste 100
San Diego, CA 92121
Phone (858) 452-3937

9833 Pacific Heights Blvd
Ste J
San Diego, CA 92121
Phone (858) 452-3937

Interoperability endpoints

  • Direct secure messaging: sfeldman43634@scrippshlth.medalliesdirect.net

Organizations & group practices 3

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": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292976000000",
    "number": "1821284092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2530",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920141830",
            "telephone_number": "858-452-3937",
            "fax_number": "858-452-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 LUSK BLVD",
            "address_2": "STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213763",
            "telephone_number": "858-452-3937",
            "fax_number": "858-452-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "SANDY",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2010-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G057688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G576881",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.