Individual provider Active NPI

Mariacristina Zamora, O.D.

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1871935080
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14293 Issued in CA
Practice address
138 N Beaudry Ave Unit 429
Los Angeles, CA 90012-3371
Phone
(787) 421-4950
NPI assigned
Jul 29, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14293 CA Primary

Addresses

Primary practice location

138 N Beaudry Ave Unit 429
Los Angeles, CA 90012-3371

Mailing address

138 N Beaudry Ave Unit 429
Los Angeles, CA 90012-3371
Phone (787) 421-4950

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
I20131202001779 CA Practitioner - Optometry 0345476016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2421 W Beverly Blvd
Montebello, CA 90640-2305
Phone (323) 888-9111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Zamora Optometry Inc Optometrist CurrentSince Feb 1, 2015 Accepting new patients
Cedars Towers Surgical Medical Group Past Accepting new patients

Locations

2421 W Beverly Blvd
Montebello, CA 90640
Phone (323) 888-9111

Organizations & group practices 2

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": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375056000000",
    "number": "1871935080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 N BEAUDRY AVE UNIT 429",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900123371",
            "telephone_number": "787-421-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 N BEAUDRY AVE UNIT 429",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900123371",
            "telephone_number": "787-421-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMORA",
        "first_name": "MARIACRISTINA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-29",
        "last_updated": "2013-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.