NPIMap

Organization Active NPI

Eye Care First , a Medical Group,Inc.

  • Ophthalmology Physician
  • Glendale, CA
National Provider Identifier
1013105048
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A52012 Issued in CA
Legal business name
EYE CARE FIRST , A MEDICAL GROUP,INC.
Practice address
610 N Central Ave Ste 103
Glendale, CA 91203-1419
Phone
(818) 507-0055
Fax
(818) 507-0036
NPI assigned
Oct 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Authorized official

Name
Dr. Mahmood Talebi, M.D.
Title
President
Phone
(818) 507-0055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X A52012 CA Primary

Addresses

Primary practice location

610 N Central Ave Ste 103
Glendale, CA 91203-1419

Mailing address

610 N Central Ave Ste 103
Glendale, CA 91203-1419
Phone (818) 507-0055

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1013105048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N CENTRAL AVE STE 103",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031419",
            "telephone_number": "818-507-0055",
            "fax_number": "818-507-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N CENTRAL AVE STE 103",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031419",
            "telephone_number": "818-507-0055",
            "fax_number": "818-507-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE FIRST , A MEDICAL GROUP,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "TALEBI",
        "authorized_official_first_name": "MAHMOOD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-507-0055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A52012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.