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DR. ROXANNE JACKELYN GURROLA OD
NPI 1144906488
Optometrist in Burbank, CA

Active since June 22, 2023PECOS Enrolled
1051 W BURBANK BLVD, BURBANK, CA 91506(818) 841-7055 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Roxanne Jackelyn Gurrola Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROXANNE JACKELYN GURROLA OD (NPI 1144906488) is an individual optometrist in Burbank, California, licensed in California (35540) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1144906488
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ROXANNE JACKELYN GURROLACredential: OD
Location Address1051 W BURBANK BLVDBurbank, CA 91506-1421
Mailing Address3650 Barham Blvd Apt T317Los Angeles, CA 90068-1499 · (818) 751-3490
Phone(818) 841-7055
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 22, 2023
NPPES CertifiedJune 22, 2023
✔ NPI 1144906488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 35540
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1051 W BURBANK BLVD, Burbank, CA 91506
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Roxanne Jackelyn Gurrola Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183063530
PECOS Enrollment IDI20260601001105
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Roxanne Gurrola reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dr. Roxanne Gurrola, O.D. Incorporated
13 mi
Optometrist
18725 VENTURA BLVD STE 101
Tarzana, CA 91356
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Dr Roxanne Gurrola Od Incorporated
NPI 1144165341 (818) 578-5550

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DARLENE FUNG
Pharmacist
1051 W BURBANK BLVD
BURBANK, CA 91506
Los Angeles County (818) 557-3782
JOSEPH SIGHANE PHARM.D.
Pharmacist
1051 W BURBANK BLVD
BURBANK, CA 91506
Los Angeles County (818) 557-3782
LATISHA PATEL O.D.
Optometrist
1051 W BURBANK BLVD
BURBANK, CA 91506
Los Angeles County (818) 841-7055
COSTCO
Pharmacist
1051 W BURBANK BLVD
BURBANK, CA 91506
Los Angeles County (818) 557-3782
COSTCO WHOLESALE CORPORATION
Pharmacy (Community/Retail Pharmacy)
1051 W BURBANK BLVD
BURBANK, CA 91506
Los Angeles County (818) 557-3782
VICTORIA SCHLOSSMAN RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1051 W BURBANK BLVD
BURBANK, CA 91506
Los Angeles County (818) 557-3782
CINDY NAGAMI
Pharmacist
1051 W BURBANK BLVD
BURBANK, CA 91506
Los Angeles County (818) 557-3782
ARINEH ISSAIAN OD
Optometrist
1051 W BURBANK BLVD
BURBANK, CA 91506
Los Angeles County (818) 841-7055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roxanne Gurrola's NPI number?

The NPI number for Roxanne Gurrola is 1144906488. It was assigned to this individual provider in the NPPES registry on June 22, 2023.

Where is Roxanne Gurrola located?

Roxanne Gurrola practices at 1051 W Burbank Blvd, Burbank, CA 91506. The listed phone number is (818) 841-7055.

What is Roxanne Gurrola's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Roxanne Gurrola enrolled in Medicare?

Yes. Roxanne Gurrola is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Roxanne Gurrola's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roxanne Gurrola reassigns Medicare benefits to Dr. Roxanne Gurrola, O.D. Incorporated (Tarzana, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roxanne Gurrola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Roxanne Gurrola was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.