Individual provider Active NPI

Cynthia Camille Carpo Mund, OD

  • Optometrist
  • Lake Elsinore, CA
National Provider Identifier
1881370658
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35502 Issued in CA
Practice address
31361 Riverside Dr
Lake Elsinore, CA 92530-7807
Phone
(951) 252-2720
Fax
(760) 414-3892
NPI assigned
Jun 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35502 CA Primary

Addresses

Primary practice location

31361 Riverside Dr
Lake Elsinore, CA 92530-7807

Mailing address

1000 Vale Terrace Dr
Vista, CA 92084-5218
Phone (844) 308-5003

Other practice location 1

134 Grapevine Rd
Vista, CA 92083-4004
Phone (760) 631-5000

Other practice location 2

4700 N River Rd
Oceanside, CA 92057-6043
Phone (760) 631-5000

Other practice location 3

517 N Horne St
Oceanside, CA 92054-2518
Phone (760) 631-5000

Other practice location 4

1000 Vale Terrace Dr
Vista, CA 92084-5218
Phone (760) 631-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE)

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
I20241001001411 CA Practitioner - Optometry 0042741191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians

Practice addresses (Care Compare)

10850 Arrow Rte
Rancho Cucamonga, CA 91730-4833
Phone (888) 750-0036

1301 California St
Redlands, CA 92374-2910
Phone (909) 809-3222

2295 S Vineyard Ave
Ontario, CA 91761-7925
Phone (909) 724-5000

9550 Escondido Ave
Hesperia, CA 92345-9120
Phone (833) 574-2273

9961 Sierra Ave
Fontana, CA 92335-6720
Phone (909) 427-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35502CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Jan 7, 2026 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jan 7, 2026 Accepting new patients
Vista Community Clinic Past Accepting new patients
Dr. Gregory L. McFarland, O.D., P.C Optometrist PastSince Apr 9, 2018 Accepting new patients

Locations

9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1881370658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 VALE TERRACE DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920845218",
            "telephone_number": "844-308-5003",
            "fax_number": "760-414-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31361 RIVERSIDE DR",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925307807",
            "telephone_number": "951-252-2720",
            "fax_number": "760-414-3892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 Grapevine Rd",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920834004",
            "country_code": "US",
            "telephone_number": "760-631-5000",
            "fax_number": "760-414-3892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 N River Rd",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920576043",
            "country_code": "US",
            "telephone_number": "760-631-5000",
            "fax_number": "760-414-3892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "517 N Horne St",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920542518",
            "country_code": "US",
            "telephone_number": "760-631-5000",
            "fax_number": "760-414-3892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Vale Terrace Dr",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920845218",
            "country_code": "US",
            "telephone_number": "760-631-5000",
            "fax_number": "760-414-3892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUND",
        "first_name": "CYNTHIA CAMILLE",
        "middle_name": "CARPO",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "31361 Riverside Dr",
            "city": "Lake Elsinore",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925307807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Elsinore, CA

Sources for this page

Verify at the official NPI Registry.