Individual provider Active NPI

Ann K. McPherran, O.D.

  • Optometrist
  • Paradise, CA
National Provider Identifier
1902930001
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 9048 TPA Issued in CA
Practice address
5911 Almond St
Paradise, CA 95969-4508
Phone
(530) 872-1376
Fax
(530) 872-3340
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 9048 TPA CA Primary

Addresses

Primary practice location

5911 Almond St
Paradise, CA 95969-4508

Mailing address

PO Box 886
Paradise, CA 95967-0886
Phone (530) 872-1376

Other identifiers 3

IdentifierTypeStateIssuer
SD0090480MedicaidCA
3401OtherCAMEDICAL EYE SERVICES #
410019521OtherCARAILROAD MEDICARE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 9048 TPACAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ann K. McPherran, O.D. Optometrist PastSince Oct 14, 1991 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.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1902930001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 886",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959670886",
            "telephone_number": "530-872-1376",
            "fax_number": "530-872-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5911 ALMOND ST",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959694508",
            "telephone_number": "530-872-1376",
            "fax_number": "530-872-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHERRAN",
        "first_name": "ANN",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 9048 TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0090480",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICES #",
            "identifier": "3401",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE #",
            "identifier": "410019521",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise, CA

Sources for this page

Verify at the official NPI Registry.