Individual provider Active NPI

Giovanni Venittelli, OD

  • Optometrist
  • Temecula, CA
National Provider Identifier
1962430066
Registry record updated Apr 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8043T Issued in CA
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

Updated by the provider on Apr 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070313000582 CA Practitioner - Optometry 1850494709 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
8043TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Giovanni Venittelli OD Inc Optometrist CurrentSince Aug 1, 2005 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.

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

Verify at the official NPI Registry.