Active NPI
Arthur J Edelstein MD, M.D.
- Vision Therapy Optometrist
- Lynwood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- A40360
- Practice address
- 3737 Martin Luther King Jr Blvd
#340
Lynwood, CA 90262-3513 - Phone
- (310) 638-0402
- Fax
- (310) 638-5786
- NPI assigned
- Jun 20, 2006
- Last updated
- Jan 13, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | A40360 | NY | Primary |
Addresses
Primary practice location
3737 Martin Luther King Jr Blvd
#340
Lynwood, CA 90262-3513
Mailing address
3737 Martin Luther King Jr Blvd
#340
Lynwood, CA 90262-3513
Phone (310) 638-0402
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101221000426 | CA | Practitioner - Ophthalmology | 0547458341 |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- New York University School of Medicine, 1966
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3737 M L King Blvd
Suite 340
Lynwood, CA 90262
3737 Martin Luther King Jr Blvd
Suite 340
Lynwood, CA 90262-3519
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 56 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A40360 | NY | MD | Vision Therapy Optometrist |
| 18506 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arthur J Edelstein M D a Professional Corporation | Vision Therapy | Current | Accepting new patients |
| Kenneth Cohn, M.D., a Medical Corporation | Ophthalmology | Current | Accepting new patients |
| UCSF Health Community Hospitals | Past | Accepting new patients | |
| St Francis Medical Center | Past | Accepting new patients |
Locations
11411 Brookshire Ave
Ste 506
Downey, CA 90241
Phone (562) 923-6256
3737 Martin Luther King Jr Blvd
Ste 340
Lynwood, CA 90262
Phone (310) 638-0402
3889 E Imperial Hwy
Lynwood, CA 90262
Phone (310) 638-0402
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
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.
-
- Ophthalmology Physician
- Lynwood, CA
- NPI 1295870095
Vision Therapy
-
- Ophthalmology Physician
- South Gate, CA
- NPI 1871646620
-
- Long Term Care Hospital
- Lynwood, CA
- NPI 1346378270
-
dba UCSF Health Hyde Hospital
- General Acute Care Hospital
- San Francisco, CA
- NPI 1316061997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578873600000",
"number": "1043256175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3737 MARTIN LUTHER KING JR BLVD",
"address_2": "#340",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902623513",
"telephone_number": "310-638-0402",
"fax_number": "310-638-5786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3737 MARTIN LUTHER KING JR BLVD",
"address_2": "#340",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902623513",
"telephone_number": "310-638-0402",
"fax_number": "310-638-5786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDELSTEIN MD",
"first_name": "ARTHUR",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2020-01-13",
"certification_date": "2020-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "NY",
"license": "A40360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.