Individual provider Active NPI

Rosina Marie Cullins, O.D.

  • Optometrist
  • San Diego, CA
National Provider Identifier
1982639365
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12360T Issued in CA
Practice address
5175 Waring Rd
San Diego, CA 92120-2705
Phone
(619) 583-1000
Fax
(619) 229-1938
NPI assigned
Jul 12, 2006
Last updated
Jun 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12360T CA Primary
Vision Therapy Optometrist 152WV0400X 12360T CA

Addresses

Primary practice location

5175 Waring Rd
San Diego, CA 92120-2705

Mailing address

5175 Waring Rd
San Diego, CA 92120-2705
Phone (619) 583-1000

Other names 1

  • Dr. Rosina Marie Monaco 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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060919000591 CA Practitioner - Optometry 1759386030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5175 Waring Rd
San Diego, CA 92120-2705
Phone (619) 583-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12360CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Gardens Family Optometry Inc. Optometrist CurrentSince Feb 22, 2010 Accepting new patients

Locations

5175 Waring Rd
San Diego, CA 92120
Phone (619) 583-1000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1982639365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5175 WARING RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921202705",
            "telephone_number": "619-583-1000",
            "fax_number": "619-229-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5175 WARING RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921202705",
            "telephone_number": "619-583-1000",
            "fax_number": "619-229-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLINS",
        "first_name": "ROSINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12360T",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "12360T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSINA",
            "last_name": "MONACO",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.