Individual provider Active NPI

Jennifer Ann Spiegel, MD

  • Ophthalmology Physician
  • Pasadena, CA
National Provider Identifier
1912136938
Registry record updated Aug 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A134733 Issued in CA
Practice address
100 E California Blvd
Pasadena, CA 91105-3205
Phone
(800) 898-2020
NPI assigned
Jul 12, 2009
Last updated
Aug 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A134733 CA Primary

Addresses

Primary practice location

100 E California Blvd
Pasadena, CA 91105-3205

Mailing address

220 Oak Hill Rd
Paso Robles, CA 93446-5427
Phone (800) 898-2020

Other identifiers 2

IdentifierTypeStateIssuer
08531544MedicaidMS
2332201MedicaidLA

Other names 1

  • Jennifer Ann Lockwood Former name

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150828000215 CA Practitioner - Ophthalmology 6305087248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Kansas School of Med (KC/Wich/Sal), 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

220 Oak Hill Rd
Paso Robles, CA 93446-5427
Phone (805) 545-8100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.53 of 100Reported as group
Quality
99.63
Improvement activities
40
Cost
82.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A134733CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Eye Surgeons, a California Professional Medical Corporation Ophthalmology CurrentSince Sep 1, 2017 Accepting new patients
Pacific Eye Surgeons, a California Professional Medical Corporation CurrentSince Sep 1, 2017 Accepting new patients
Ochsner Clinic Foundation Ophthalmology Past Accepting new patients
Dignity Community Care Past Accepting new patients

Locations

220 Oak Hill Rd
Paso Robles, CA 93446
Phone (805) 227-1477

931 Oak Park Blvd
Ste 201
Pismo Beach, CA 93449
Phone (805) 473-6640

3855 Broad St
#B
San Luis Obispo, CA 93401
Phone (805) 545-7881

816 E Enos Dr
Ste A
Santa Maria, CA 93454
Phone (805) 346-1717

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1247356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502928000000",
    "number": "1912136938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 OAK HILL RD",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934465427",
            "telephone_number": "800-898-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E CALIFORNIA BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053205",
            "telephone_number": "800-898-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIEGEL",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-12",
        "last_updated": "2017-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A134733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08531544",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2332201",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LOCKWOOD",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.