Active NPI
Sonia Menchavez, O.D.
- Optometrist
- Mountain View, CA
National Provider Identifier
1851721500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 14809
- Practice address
- 1150 W El Camino Real
Mountain View, CA 94040-2518 - Phone
- (650) 967-5789
- Fax
- (650) 967-4106
- NPI assigned
- Nov 16, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 14809 | CA | Primary |
Addresses
Primary practice location
1150 W El Camino Real
Mountain View, CA 94040-2518
Mailing address
128 Carl St Apt 1
San Francisco, CA 94117-3923
Phone (650) 714-9830
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210614002027 | CA | Order and Referring Only - Optometry | 1355741380 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14809 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384560000000",
"number": "1851721500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 CARL ST APT 1",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941173923",
"telephone_number": "650-714-9830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 W EL CAMINO REAL",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940402518",
"telephone_number": "650-967-5789",
"fax_number": "650-967-4106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENCHAVEZ",
"first_name": "SONIA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-16",
"last_updated": "2013-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "14809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.