Individual provider Active NPI

Theodore August Pasquali, M.D.

  • Ophthalmology Physician
  • Lakewood, CA
National Provider Identifier
1164682738
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A 126375 Issued in CA
Practice address
3300 E South St
Suite 105
Lakewood, CA 90805-4549
Phone
(562) 531-2020
NPI assigned
Jun 16, 2008
Last updated
Jan 26, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A126375 CA
Ophthalmology Physician 207W00000X A 126375 CA Primary

Addresses

Primary practice location

3300 E South St
Suite 105
Lakewood, CA 90805-4549

Mailing address

3300 E South St
Suite 105
Lakewood, CA 90805-4549
Phone (562) 531-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131105000978 CA Practitioner - Ophthalmology 0244465904 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, Geffen School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakewood Eye Physicians and Surgeons Inc a Medical GroupGroup PAC ID 4789647983, shared by 3 NPIs, 8 clinicians

Practice addresses (Care Compare)

3801 Katella Ave
Suite 130
Los Alamitos, CA 90720-3362
Phone (562) 598-7728

Merit-based Incentive Payment System (MIPS)

Final score
91.34 of 100Reported as group
Quality
94
Improvement activities
40
Cost
75.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery192

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A126375CAMDSpecialist
A 126375CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Eye Physicians and Surgeons Inc a Medical Group CurrentSince Jun 30, 2018 Accepting new patients
Lakewood Eye Physicians and Surgeons Inc a Medical Group Specialist CurrentSince Sep 1, 2013 Accepting new patients
Lakewood Eye Physicians and Surgeons Inc a Medical Group Specialist CurrentSince Sep 1, 2013 Accepting new patients
University of California Irvine Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients

Locations

3300 E South St
#107
Lakewood, CA 90805
Phone (562) 531-2020

3300 E South St
Ste 105
Lakewood, CA 90805
Phone (562) 232-1442

3300 E South St
Ste 107
Lakewood, CA 90805
Phone (562) 531-2020

3801 Katella Ave
Ste 130
Los Alamitos, CA 90720
Phone (562) 430-3561

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: tpasquali@scepa.intellechartdirect.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1164682738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 E SOUTH ST",
            "address_2": "SUITE 105",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "908054549",
            "telephone_number": "562-531-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 E SOUTH ST",
            "address_2": "SUITE 105",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "908054549",
            "telephone_number": "562-531-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASQUALI",
        "first_name": "THEODORE",
        "middle_name": "AUGUST",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A126375",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A 126375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

Verify at the official NPI Registry.