Organization Active NPI

Retina Vision Consultants 360

  • Ophthalmology Physician
  • Beverly Hills, CA
National Provider Identifier
1124910856
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RETINA VISION CONSULTANTS 360
Practice address
360 N Bedford Dr FL 3
Beverly Hills, CA 90210-5124
Phone
(800) 841-5200
NPI assigned
Jul 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Authorized official

Name
Dr. Pradeep S. Prasad, MDNPI 1639348204
Title
Partner
Phone
(800) 841-5200

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary
Retina Specialist (Ophthalmology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207WX0107X

Addresses

Primary practice location

360 N Bedford Dr FL 3
Beverly Hills, CA 90210-5124

Mailing address

360 N Bedford Dr FL 3
Beverly Hills, CA 90210-5124
Phone (800) 841-5200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250902004351 CA Part B Supplier - Clinic/Group Practice 1355842063 Receives reassigned benefits from 4 practitioners
Practice locations: Santa Monica, CA; Los Angeles, CA; Beverly Hills, CA

National Provider Directory

National Provider Directory

Locations

360 N Bedford Dr
Fl 3
Beverly Hills, CA 90210
Phone (310) 269-8565

360 N Bedford Dr
Ste 100
Beverly Hills, CA 90210
Phone (310) 269-8565

2121 Santa Monica Blvd
#360
Santa Monica, CA 90404

2020 Santa Monica Blvd
#360
Santa Monica, CA 90404

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1124910856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N BEDFORD DR FL 3",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105124",
            "telephone_number": "800-841-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 N BEDFORD DR FL 3",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105124",
            "telephone_number": "800-841-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA VISION CONSULTANTS 360",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "PRASAD",
        "authorized_official_first_name": "PRADEEP",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "800-841-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.