Krystal Tan Vanichsarn, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

15449 Issued in CA

Practice address

700 W El Norte Pkwy Ste 200
Escondido, CA 92026-3923

Phone

(607) 435-8727

Fax

(760) 743-5879

NPI assigned

Jul 16, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sharp Rees-Stealy Medical Group IncGroup PAC ID 8628972759, 872 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.67 of 100Reported as group

Quality

81.04

Promoting interoperability

99

Improvement activities

40

Cost

82.04

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kvanichsarn114626@sharphealthcare.direct-ci.com

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.

• Sharp Rees-Stealy Medical Group, Inc

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1285616177

  CA, Optometrist

  Medicare reassignment Care Compare group NPD
• Bakersfield Optometric Group

  • Optometrist
  • Bakersfield, CA
  • NPI 1669738845

  CA, Optometrist

  Medicare reassignment NPD
• Southwest Eye Care Optometric Center, Inc

  • Optometrist
  • Bakersfield, CA
  • NPI 1538517438

  CA, Optometrist

  Medicare reassignment NPD
• Sharp Rees-Stealy Medical Group, Inc

  • Optometrist
  • San Diego, CA
  • NPI 1063172351
  NPD
• Barry a. Katzman, M.D., Inc Apc

  • Optometrist
  • San Diego, CA
  • NPI 1588842488
  NPD (past)
• Retina Institute of California Medical Group, a California Medical Par

  • Ophthalmology Physician
  • Bakersfield, CA
  • NPI 1457744534

  Optometrist

  NPD (past)
• Sharp Rees-Stealy Medical Center

  • Physical Therapist
  • Chula Vista, CA
  • NPI 1407096589
  NPD (past)

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1962886283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12614 CROWN CREST DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933118567",
            "telephone_number": "408-315-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W EL NORTE PKWY STE 200",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920263923",
            "telephone_number": "607-435-8727",
            "fax_number": "760-743-5879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANICHSARN",
        "first_name": "KRYSTAL",
        "middle_name": "TAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003091",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Elaine Van Hasselt, SLP
• Sarah Van Woert
• Danielle Vanderford
• Abraham Alejandro Vandiver, FNP
• Christopher Tan Vanichsarn, M.D.
• Khrystina Varela, PPS
• Giselle Vargas Cortez
• Annabelle Vargas
• Manuel Vargas
• Monica Vargas

• All providers in Escondido, CA
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.