Active NPI
Monica Reyes, O.D.
- Optometrist
- Rancho Santa Margarita, CA
National Provider Identifier
1881029148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT14642TLG
- Practice address
- 22312 El Paseo Ste D
Rancho Santa Margarita, CA 92688-5803 - Phone
- (949) 589-6171
- Fax
- (949) 589-0657
- NPI assigned
- Sep 5, 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 | OPT14642TLG | CA | Primary |
Addresses
Primary practice location
22312 El Paseo Ste D
Rancho Santa Margarita, CA 92688-5803
Mailing address
2709 W Pendleton Ave
Santa Ana, CA 92704-4921
Phone (714) 317-6853
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT14642TLG | CA | MD | Optometrist |
| 14642 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kathleen M. Andersen, O.D., Inc. | Optometrist | Past | Accepting new patients |
Interoperability endpoints
- https://kandersenod.ef.prod.fhir.ema-api.com/fhir/r4/
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.
-
- Optometrist
- Rancho Santa Margarita, CA
- NPI 1043439821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512604800000",
"number": "1881029148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2709 W PENDLETON AVE",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927044921",
"telephone_number": "714-317-6853",
"fax_number": "888-477-8972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22312 EL PASEO STE D",
"city": "RANCHO SANTA MARGARITA",
"state": "CA",
"postal_code": "926885803",
"telephone_number": "949-589-6171",
"fax_number": "949-589-0657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "MONICA",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-05",
"last_updated": "2017-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT14642TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Santa Margarita, CA
- Rancho Santa Margarita Physical Therapy Sports Medicine Inc
- Mehran Rastegar-Lari, D.D.S
- Reagan Dental Corporation (Rancho Dental Group)
- Rejuve Family Counseling, Inc.
- Renew Wellness Physical Therapy
- Marielle Reyesbaje, PHARM.D.
- Elizabeth Ribadeneira
- Oscar Hernan Ribadeneira, CMT, PHES
- Celeste Lau Richards
- Lisa Marie Riech, P.T.A.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.