Eye Specialists of California Medical Group

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A100361 Issued in CA

Legal business name

EYE SPECIALISTS OF CALIFORNIA MEDICAL GROUP

Doing business as

Escondido Optical
Hidden Valley Eye Associates
Integrity Eye

Practice address

1955 Citracado Pkwy Ste 301
Escondido, CA 92029-4113

Phone

(760) 746-3937

Fax

(760) 746-3991

NPI assigned

Sep 1, 2016

Last updated

Sep 2, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

EYE SPECIALISTS OF CALIFORNIA MEDICAL GROUPAs reported in NPPES

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

Authorized official

Name

Dr. Arvind Saini, M.D.NPI 1265610240

Title

President/Owner

Phone

(760) 746-3937

Specialties & licenses 2

Addresses

Other names 3

• Escondido Optical Doing business as
• Hidden Valley Eye Associates Doing business as
• Integrity Eye Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Tax ID family

Eye Specialists of California Medical Group2 organizations share this tax ID, including this one

Part of

Eye Specialists of California Medical Group

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eye Specialists of California Medical Group

  dba Escondido Optical

  • Eyewear Supplier
  • Escondido, CA
  • NPI 1285179283
  NPD tax ID

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Arvind Saini, MD, MBA

  • Ophthalmology Physician
  • Escondido, CA
  • NPI 1265610240
  Medicare reassignment Care Compare group NPD Authorized official
• Puneh Baha, O.D.

  • Optometrist
  • Escondido, CA
  • NPI 1134212160
  Medicare reassignment Care Compare group NPD
• Elizabeth Meneeley Hofmeister, M.D.

  • Ophthalmology Physician
  • Escondido, CA
  • NPI 1225008733
  Medicare reassignment Care Compare group NPD
• Akbar A Jamall, MD

  • Ophthalmology Physician
  • Hudson, NY
  • NPI 1679700181
  NPD
• John William Hunter, M.D.

  • Family Medicine Physician
  • Hemet, CA
  • NPI 1912015785
  NPD (past)
• Jaehoon Lee, O.D.

  • Optometrist
  • Apple Valley, CA
  • NPI 1174648687
  NPD (past)
• Yen M. Ma, O.D.

  • Optometrist
  • Hemet, CA
  • NPI 1255409363
  NPD (past)
• Amy Marie Miller, O.D.

  • Optometrist
  • Hemet, CA
  • NPI 1134119399
  NPD (past)

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1063969509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 CITRACADO PKWY STE 301",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920294113",
            "telephone_number": "760-746-3937",
            "fax_number": "760-746-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 CITRACADO PKWY STE 301",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920294113",
            "telephone_number": "760-746-3937",
            "fax_number": "760-746-3991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 Santa Monica Blvd Ste 505E",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904042158",
            "country_code": "US",
            "telephone_number": "760-746-3937",
            "fax_number": "760-746-3991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EYE SPECIALISTS OF CALIFORNIA MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYE SPECIALISTS OF CALIFORNIA MEDICAL GROUP",
        "enumeration_date": "2016-09-01",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "SAINI",
        "authorized_official_first_name": "ARVIND",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "760-746-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "179101",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A100361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Escondido Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hidden Valley Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Integrity Eye",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jay Everitt
• Everside Health-Escondido
• Duane Lester Eversole
• Stoimen Simeonov Evtimov, M.D.
• Exodus Recovery, Inc.
• Eye Specialists of California Medical Group (Escondido Optical)
• F.I.R.E. Igniting Lives Psychology
• Randy Lee Faber, RDAT1
• Blair Washburn Fadem, D.D.S.
• Pamela Eva Fadul, M.D.

• Ophthalmology Physician in Escondido, CA
• Providers in Escondido, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.