Individual provider Active NPI

Michael Patrick Delapena, OD

  • Optometrist
  • Salinas, CA
National Provider Identifier
1861431439
Registry record updated Jun 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9432 Issued in CA
Practice address
419 E Romie LN
Salinas, CA 93901-4016
Phone
(831) 758-3331
Fax
(831) 758-2850
NPI assigned
Jun 6, 2006
Last updated
Jun 26, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9432 CA Primary

Addresses

Primary practice location

419 E Romie LN
Salinas, CA 93901-4016

Mailing address

419 E Romie LN
Salinas, CA 93901-4016
Phone (831) 758-3331

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
I20090623000757 CA Practitioner - Optometry 1557315074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joseph J Marchionna OD and Michael Delapena OD a PocGroup PAC ID 5395799811, 2 clinicians

Practice addresses (Care Compare)

419 E Romie LN
Salinas, CA 93901-4016
Phone (831) 758-3331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9432CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph J Marchionna OD and Michael Delapena OD a Poc Optometrist CurrentSince Dec 24, 2002 Accepting new patients

Locations

419 E Romie Ln
Salinas, CA 93901
Phone (831) 758-2850

Organizations & group practices 1

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245974400000",
    "number": "1861431439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 E ROMIE LN",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014016",
            "telephone_number": "831-758-3331",
            "fax_number": "831-758-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 E ROMIE LN",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014016",
            "telephone_number": "831-758-3331",
            "fax_number": "831-758-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAPENA",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2009-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.