Active NPI
Giovanni Venittelli, OD
- Optometrist
- Temecula, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8043T
- Practice address
- 31333 Temecula Pkwy
Suite#C10-140
Temecula, CA 92592-6831 - Phone
- (951) 302-1331
- Fax
- (866) 812-6094
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- 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 | 8043T | CA | Primary |
Addresses
Primary practice location
31333 Temecula Pkwy
Suite#C10-140
Temecula, CA 92592-6831
Mailing address
31333 Temecula Pkwy
Suite#C10-140
Temecula, CA 92592-6831
Phone (951) 302-1331
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1984
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
43980 Margarita Rd
Suite 103
Temecula, CA 92592-2783
Phone (951) 302-1331
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8043T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Giovanni Venittelli OD Inc | Optometrist | Current | Accepting new patients |
Locations
39252 Winchester Rd
Ste 127
Murrieta, CA 92563
Phone (951) 600-9226
31333 State Highway 79
Ste C10
Temecula, CA 92592
Phone (951) 302-1331
31333 US Highway 79
Ste 140
Temecula, CA 92592
Phone (951) 483-2007
43980 Margarita Rd
Ste 103
Temecula, CA 92592
Phone (951) 302-1331
31333 Temecula Pkwy
#10140
Temecula, CA 92592
Phone (951) 302-1331
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
- Temecula, CA
- NPI 1568548519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240876800000",
"number": "1962430066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31333 TEMECULA PKWY",
"address_2": "SUITE#C10-140",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925926831",
"telephone_number": "951-302-1331",
"fax_number": "866-812-6094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31333 TEMECULA PKWY",
"address_2": "SUITE#C10-140",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925926831",
"telephone_number": "951-302-1331",
"fax_number": "866-812-6094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENITTELLI",
"first_name": "GIOVANNI",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2009-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "8043T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.