Active NPI
James Vincent Maggiano, OD
- Optometrist
- Bellflower, CA
National Provider Identifier
1861555393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8794T
- Practice address
- 16801 S Bellflower Blvd
Bellflower, CA 90706 - Phone
- (562) 867-4220
- Fax
- (562) 920-4375
- NPI assigned
- Dec 18, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 8794T | CA | Primary |
Addresses
Primary practice location
16801 S Bellflower Blvd
Bellflower, CA 90706
Mailing address
16801 S Bellflower Blvd
Bellflower, CA 90706
Phone (562) 867-4220
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1024040001 | Other | CA | MEDICARE MATERIALS |
| SD0087940 | Other | CA | MEDICAL |
| 5239723 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8794T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orange County Retina Medical Group | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Ophthalmology Physician
- Santa Ana, CA
- NPI 1750398863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861555393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16801 S BELLFLOWER BLVD",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "90706",
"telephone_number": "562-867-4220",
"fax_number": "562-920-4375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16801 S BELLFLOWER BLVD",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "90706",
"telephone_number": "562-867-4220",
"fax_number": "562-920-4375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGGIANO",
"first_name": "JAMES",
"middle_name": "VINCENT",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "8794T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE MATERIALS",
"identifier": "1024040001",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "SD0087940",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5239723",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellflower, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.