John Deguzman Celis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

11704T Issued in CA

Practice address

23600 Rockfield Blvd
Suite 3F
Lake Forest, CA 92630-1624

Phone

(949) 206-1560

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• John Celis, O.D., a Professional Corporation

  • Optometrist
  • Lake Forest, CA
  • NPI 1144313412
  Medicare reassignment NPD

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1861542714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23600 ROCKFIELD BLVD",
            "address_2": "SUITE 3F",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301624",
            "telephone_number": "949-206-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23600 ROCKFIELD BLVD",
            "address_2": "SUITE 3F",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301624",
            "telephone_number": "949-206-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGUZMAN CELIS",
        "first_name": "JOHN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11704T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2462134",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elijah De Vera
• Krista Marie Tan Dean
• Debora M. Bitton, Professional Corporation
• James Patrick Decock, M.D
• Definiti Healthcare
• Jovik Martinez Del Rosario
• Yanely Delgado
• Lauren Deliberato
• Nicholas Deliberato, DC
• Nastaran Demehri

• Optometrist in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.