Paul L. Prendiville, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G73434 Issued in CA

Practice address

23961 Calle de la Magdalena
Ste. 302
Laguna Hills, CA 92653-3616

Phone

(949) 588-2020

Fax

(949) 588-0336

NPI assigned

Sep 2, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Southern California Keck School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Coast Eye Care Centers, a Comp Ophthalmology Medical GRP Inc.Group PAC ID 0547299901, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

72.02 of 100Reported as individual

Quality

57.65

Improvement activities

40

Cost

63.21

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: paul.prendiville.p27@direct.monarchhealthcare.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South Coast Eye Care Centers a Comp Ophthalmology Medical GRP Inc.

  • Ophthalmology Physician
  • Laguna Hills, CA
  • NPI 1063459725
  Medicare reassignment Care Compare group NPD
• Los Alamitos Medical Center, Inc.

  • Psychiatric Hospital Unit
  • Los Alamitos, CA
  • NPI 1497780084
  NPD (past)
• Mission Hospital Regional Medical Center

  • Rehabilitation Hospital
  • Mission Viejo, CA
  • NPI 1003956913
  NPD (past)
• Saddleback Memorial Medical Center

  • Rehabilitation Hospital Unit
  • Laguna Hills, CA
  • NPI 1114967114
  NPD (past)
• South Coast Eye Care Centers

  • Eyewear Supplier
  • Laguna Hills, CA
  • NPI 1518935725
  NPD (past)

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1073507190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23961 CALLE DE LA MAGDALENA",
            "address_2": "STE. 302",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533616",
            "telephone_number": "949-588-2020",
            "fax_number": "949-588-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23961 CALLE DE LA MAGDALENA",
            "address_2": "STE. 302",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533616",
            "telephone_number": "949-588-2020",
            "fax_number": "949-588-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENDIVILLE",
        "first_name": "PAUL",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G73434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G734340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premier Chiropractic, a Rundle Corporation
• Premier Dental Implant Center
• Premier Healthcare Services, LLC
• Premier Imaging Solutions Socal LLC
• Premier Pharmacy Socal LLC
• Viridiana Presciado
• William G Preston, MD
• Carly Preusse
• Joseph P Preziosi, DC
• Kerry Price, MD

• Ophthalmology Physician in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.

Verify at the official NPI Registry.