Roshiny Elsy Mathew, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

34846 Issued in CA

Practice address

5030 Hamner Ave
Eastvale, CA 91752-1009

Phone

(714) 457-0165

NPI assigned

Jul 23, 2021

Last updated

Aug 7, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX, CA2 enrollments

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 2

Specialty

Optometry

Education

Southern California College of Optometry, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Dr Latisha Patel a Professional Optometric CorporationGroup PAC ID 0840645479, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dr Latisha Patel a Professional Optometric Corporation

  • Optometrist
  • Eastvale, CA
  • NPI 1750877239
  Medicare reassignment Care Compare group NPD
• Tso Rockwall LLC

  • Optometrist
  • Rockwall, TX
  • NPI 1598249070
  Medicare reassignment NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Riverside, CA
  • NPI 1316979834
  Medicare reassignment
• Aeg Texas Professional PLLC

  • Optometrist
  • Kerrville, TX
  • NPI 1457905937
  NPD (past)

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1922671254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 HAMNER AVE",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "917521009",
            "telephone_number": "714-457-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 HAMNER AVE",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "917521009",
            "telephone_number": "714-457-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "ROSHINY",
        "middle_name": "ELSY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34846",
            "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": "5030 Hamner Ave",
            "city": "Eastvale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917521009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Edgar Nepomuceno Malbas, P.T.
• Nazia Malik, DMD
• Isagani Ignacio Marquez Jr.
• Miguel Martinez, ATC
• Stephanie Nicole Martinez, OTR/L
• MBS Nutrition Therapy LLC
• Mary Gorret Mburia, RN
• O'Shonda Renee McDowell, MSW, LCSW
• Steven Andrew McLeod
• Brenda D Medina, COTA

• Optometrist in Eastvale, CA
• Providers in Eastvale, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.