NPIMap

Organization Active NPI

California Retina Associates, LP

Doing business as California Retina Associates

  • Ophthalmology Physician
  • Chula Vista, CA
National Provider Identifier
1114033404
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CALIFORNIA RETINA ASSOCIATES, LP
Doing business as
California Retina Associates
Practice address
835 3Rd Ave
Suite a
Chula Vista, CA 91911-1352
Phone
(619) 425-7755
Fax
(619) 425-9057
NPI assigned
Aug 21, 2006
Last updated
Oct 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Authorized official

Name
Nasrin Mani, MDNPI 1023061314
Title
Owner
Phone
(619) 425-7755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

835 3Rd Ave
Suite a
Chula Vista, CA 91911-1352

Mailing address

835 3Rd Ave
Suite a
Chula Vista, CA 91911-1352
Phone (619) 425-7755

Other names 1

  • CALIFORNIA RETINA ASSOCIATES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050523001307 CA Part B Supplier - Clinic/Group Practice 4284676966 Receives reassigned benefits from 24 practitioners
Practice locations: Brawley, CA; Temecula, CA; National City, CA; Escondido, CA; El Centro, CA; Chula Vista, CA; El Cajon, CA; Calexico, CA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1001 E Birch St
Calexico, CA 92231
Phone (760) 890-5593

865 Third Ave
Ste 112
Chula Vista, CA 91911
Phone (619) 271-7992

1501 Ocotillo Dr
Ste C
El Centro, CA 92243
Phone (760) 353-6363

1498 S La Brucherie Rd
#A
El Centro, CA 92243
Phone (619) 425-7755

2240 E Plaza Blvd
Ste H
National City, CA 91950
Phone (619) 470-3937

3405 Kenyon St
Ste 201
San Diego, CA 92110
Phone (619) 222-7755

27315 Jefferson Ave
Temecula, CA 92590

27315 Jefferson Ave
Ste F
Temecula, CA 92590

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Interoperability endpoints

  • Direct secure messaging: rmundae@retinadrs.intellechartdirect.net
  • Direct secure messaging: qthach@retinadrs.intellechartdirect.net
  • Direct secure messaging: meslani@retinadrs.intellechartdirect.net
  • Direct secure messaging: cbacorn@retinadrs.intellechartdirect.net
  • Direct secure messaging: kgreen@retinadrs.intellechartdirect.net
  • Direct secure messaging: mpons@retinadrs.intellechartdirect.net
  • Direct secure messaging: mmani@retinadrs.intellechartdirect.net
  • Direct secure messaging: acarraby@retinadrs.intellechartdirect.net
  • Direct secure messaging: gpapastergiou@retinadrs.intellechartdirect.net
  • Direct secure messaging: rmarr@retinadrs.intellechartdirect.net
  • Direct secure messaging: aamini@retinadrs.intellechartdirect.net
  • Direct secure messaging: colinip@retinadrs.intellechartdirect.net
  • Direct secure messaging: iyong@retinadrs.intellechartdirect.net
  • Direct secure messaging: tdelengocky@retinadrs.intellechartdirect.net
  • Direct secure messaging: akoo@retinadrs.intellechartdirect.net
  • Direct secure messaging: askaf@retinadrs.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 32

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.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1114033404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 3RD AVE",
            "address_2": "SUITE A",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111352",
            "telephone_number": "619-425-7755",
            "fax_number": "619-425-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 3RD AVE",
            "address_2": "SUITE A",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111352",
            "telephone_number": "619-425-7755",
            "fax_number": "619-425-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA RETINA ASSOCIATES, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "MANI",
        "authorized_official_first_name": "NASRIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-425-7755",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CALIFORNIA RETINA ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CALIFORNIA RETINA ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.