Active NPI
Retina Associates Medical Group, Inc.
- Eyewear Supplier
- Orange, CA
National Provider Identifier
1154338598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- RETINA ASSOCIATES MEDICAL GROUP, INC.
- Practice address
- 436 South Glassell St
Orange, CA 92866 - Phone
- (714) 633-6060
- Fax
- (714) 633-7470
- NPI assigned
- Aug 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert F Ruper, M.D.
- Title
- Ceo-Owner
- Phone
- (714) 633-6060
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | CA | ||
| Eyewear Supplier | 332H00000X | CA | Primary |
Addresses
Primary practice location
436 South Glassell St
Orange, CA 92866
Mailing address
436 South Glassell St
Orange, CA 92866
Phone (714) 633-6060
Other names 1
- The Retina Institute
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1154338598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "436 SOUTH GLASSELL ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "92866",
"telephone_number": "714-633-6060",
"fax_number": "714-633-7470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 SOUTH GLASSELL ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "92866",
"telephone_number": "714-633-6060",
"fax_number": "714-633-7470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RETINA ASSOCIATES MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-01",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "RUPER",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "CEO-OWNER",
"authorized_official_telephone_number": "714-633-6060",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Retina Institute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.