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DR. SAUL MEDINA OD
NPI 1801636147
Optometrist in Oxnard, CA

Active since May 24, 2024PECOS Enrolled
2100 STATHAM BLVD, OXNARD, CA 93033(805) 330-8683(805) 728-1433 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Saul Medina Od NPPES

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

DR. SAUL MEDINA OD (NPI 1801636147) is an individual optometrist in Oxnard, California, licensed in California (OD36103) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801636147
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. SAUL MEDINACredential: OD
Location Address2100 STATHAM BLVDOxnard, CA 93033
Mailing Address1040 Flynn RdCamarillo, CA 93012-5092 · (805) 673-3930
Phone(805) 330-8683
Fax(805) 728-1433
Sole ProprietorNo
Enumeration DateMay 24, 2024
Last NPPES UpdateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
✔ NPI 1801636147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in CA · OD36103✔ Licensed in NV · 1197
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.
2100 STATHAM BLVD, Oxnard, CA 93033
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Saul Medina Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Saul Medina reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinicas Del Camino Real Inc
Same address
Community Health
2100 STATHAM BLVD
Oxnard, CA 93033
  • Reassigned Medicare billing, California enrollment
  • 216 clinicians in this Medicare group
NPI 1235866138 (805) 659-1750
Gammoh Premier Vision LLC
267 mi
Optometrist
556 N EASTERN AVE STE A
Las Vegas, NV 89101
  • Reassigned Medicare billing, Nevada enrollment
  • 16 clinicians in this Medicare group
NPI 1528304458 (702) 840-2020

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 93033 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
$140.72 typical visit price
range $62.32 – $185.36
Typical copayment $35.18 (range $15.58 – $46.34)
Most-billed visit code 99204
Established Patient
$77.11 typical visit price
range $20.68 – $151.85
Typical copayment $19.27 (range $5.17 – $37.96)
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 20

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

DR. MIGUEL H ROMERO M.D.
Family Medicine
2100 STATHAM BLVD
OXNARD, CA 93033
Ventura County (805) 330-8685
LORENA HERNANDEZ LMFT
Marriage & Family Therapist
2100 STATHAM BLVD
OXNARD, CA 93033
Ventura County (805) 330-8684
ETIENNE ARMIJO
Physician Assistant
2100 STATHAM BLVD
OXNARD, CA 93033
Ventura County (805) 330-8685
MARADY SABIAGA MESA PA-C, MPH
Physician Assistant
2100 STATHAM BLVD
OXNARD, CA 93033
Ventura County (805) 330-8685
WENDY LEE DAVIDSON NP
Nurse Practitioner (Family)
2100 STATHAM BLVD
OXNARD, CA 93033
Ventura County (805) 330-8685
ANNE LEIGH OLIPHANT M.D.
Obstetrics & Gynecology
2100 STATHAM BLVD
OXNARD, CA 93033
Ventura County (805) 330-8680
KRYSTINE FORBES
Physician Assistant
2100 STATHAM BLVD
OXNARD, CA 93033
Ventura County (805) 330-8680
CLINICAS DEL CAMINO REAL INC
Clinic/Center (Community Health)
2100 STATHAM BLVD
OXNARD, CA 93033
Ventura County (805) 659-1750

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 Saul Medina's NPI number?

The NPI number for Saul Medina is 1801636147. It was assigned to this individual provider in the NPPES registry on May 24, 2024.

Where is Saul Medina located?

Saul Medina practices at 2100 Statham Blvd, Oxnard, CA 93033. The listed phone number is (805) 330-8683.

What is Saul Medina's specialty?

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

Is Saul Medina enrolled in Medicare?

Yes. Saul Medina is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Saul Medina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Saul Medina reassigns Medicare benefits to 2 organizations: Clinicas Del Camino Real Inc (Oxnard, CA) and Gammoh Premier Vision LLC (Las Vegas, NV). Each 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 Saul Medina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Saul Medina accept?

Health plans from Providence Health Plan list Saul Medina as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Saul Medina was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.