De la Pena Eye Clinic, a Medical Group, Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

DE LA PENA EYE CLINIC, A MEDICAL GROUP, INC

Practice address

7749 Painter Ave
Whittier, CA 90602-2411

Phone

(323) 728-5500

NPI assigned

May 26, 2020

Last updated

May 26, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Kelly

Title

Member, Board of Managers

Phone

(615) 760-6593

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• De la Pena Eye Clinic, a Medical Group, Inc

  dba De La Pena Eye Clinic, AMG, Inc

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1306850250

  O20031223000882

  Same enrollment
• De la Pena Eye Clinic, a Medical Group, Inc

  • Ophthalmology Physician
  • El Monte, CA
  • NPI 1447887807

  O20031223000882

  Same enrollment
• De la Pena Eye Clinic, a Medical Group, Inc

  dba De La Pena Eye Clinic, AMG, Inc

  • Ophthalmology Physician
  • Santa Ana, CA
  • NPI 1831536481

  O20031223000882

  Same enrollment
• De la Pena Eye Clinic, a Medical Group, Inc

  dba De La Pena Eye Clinic, AMG, Inc

  • Ophthalmology Physician
  • Van Nuys, CA
  • NPI 1952748501

  O20031223000882

  Same enrollment
• De la Pena Eye Clinic, a Medical Group, Inc.

  • Ophthalmology Physician
  • Montebello, CA
  • NPI 1114931052

  O20031223000882

  Same enrollment
• De la Pena Eye Clinic, a Medical Group, Inc.

  dba DLP Eye Group

  • Ophthalmology Physician
  • Long Beach, CA
  • NPI 1285412007

  O20031223000882

  Same enrollment
• De la Pena Eye Clinic, a Medical Group, Inc.

  dba DLP Eye Group

  • Ophthalmology Physician
  • Huntington Park, CA
  • NPI 1518971464

  O20031223000882

  Same enrollment

Locations

Practitioners 6

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.

• Nicolas Gabriel Biro, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Santa Clarita, CA
  • NPI 1497959332

  Ophthalmology

  NPD
• Richard Brian Foulkes, M.D,

  • Ophthalmology Physician
  • Montebello, CA
  • NPI 1932312063
  NPD
• Eddie M Garcia, M.D.

  • Ophthalmology Physician
  • El Monte, CA
  • NPI 1164447678
  NPD
• Bao Han Allison Le, MD

  • Ophthalmology Physician
  • Westminster, CA
  • NPI 1306401096
  NPD
• Michael Jeremy Savetsky, MD

  • Cornea and External Diseases Specialist Physician
  • Culver City, CA
  • NPI 1255598819

  Ophthalmology

  NPD
• Susan K Ung, O.D.

  • Optometrist
  • Montebello, CA
  • NPI 1679582225
  NPD

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1114540077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COMMERCE ST STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372192518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7749 PAINTER AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906022411",
            "telephone_number": "323-728-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE LA PENA EYE CLINIC, A MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MEMBER, BOARD OF MANAGERS",
        "authorized_official_telephone_number": "615-760-6593"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wray E De Anda, PSY.D
• Lowryn R De Castro, FNP
• Angelina Rose De Dios
• Celia De Haro Macias
• Brianna De la Fuente
• Alexandra Jean De la Rosa
• Rachael Ann De la Rosa
• Cristal De la Torre
• Patricia De la Torre, LCSW
• Patricia Lorena De la Torre

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.