Organization Active NPI

Retina Associates of Orange County

  • Ophthalmology Physician
  • Santa Ana, CA
National Provider Identifier
1114105384
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RETINA ASSOCIATES OF ORANGE COUNTY
Practice address
2010 E First St
Suite 140
Santa Ana, CA 92705-8644
Phone
(714) 543-6020
Fax
(714) 543-1720
NPI assigned
Feb 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Authorized official

Name
Desmond Edward McGuire, M.D.NPI 1881690634
Title
President
Phone
(714) 543-6020

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

2010 E First St
Suite 140
Santa Ana, CA 92705-8644

Mailing address

2010 E 1St St
Suite 140
Santa Ana, CA 92705-4079
Phone (714) 543-6020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080620000220 CA Part B Supplier - Clinic/Group Practice 8729159629 Receives reassigned benefits from 5 practitioners
Practice locations: Laguna Hills, CA; Newport Beach, CA; Santa Ana, CA

National Provider Directory

National Provider Directory
Tax ID family
Retina Associates of Orange County2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

23521 Paseo de Valencia
Ste 206
Laguna Hills, CA 92653

23521 Paseo de Valencia
Ste 207
Laguna Hills, CA 92653
Phone (949) 707-5125

1 Hoag Dr
Ste 122
Newport Beach, CA 92663

360 San Miguel Dr
Newport Beach, CA 92660
Phone (949) 717-0072

Interoperability endpoints

  • Direct secure messaging: dmcguire@retinaoc.intellechartdirect.net
  • Direct secure messaging: ceifrig@retinaoc.intellechartdirect.net
  • Direct secure messaging: jhwang@retinaoc.intellechartdirect.net
  • Direct secure messaging: jlean@retinaoc.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 5

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": "1202515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1114105384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 E 1ST ST",
            "address_2": "SUITE 140",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054079",
            "telephone_number": "714-543-6020",
            "fax_number": "714-543-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 E FIRST ST",
            "address_2": "SUITE 140",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058644",
            "telephone_number": "714-543-6020",
            "fax_number": "714-543-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA ASSOCIATES OF ORANGE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-09",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "DESMOND",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-543-6020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.