Paul A Blacharski, M.D.

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

G44451 Issued in CA

Practice address

29798 Haun Rd
Suite 200
Menifee, CA 92586-6541

Phone

(951) 679-0400

Fax

(951) 672-6667

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Ophthalmology

Education

Loma Linda University School of Medicine, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inland Valley Retina Medical Associates, IncGroup PAC ID 1153212808, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pblacharski@invrma.intellechartdirect.net
• Direct secure messaging: pblacharski@ecmc.intellechartdirect.net
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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

• Inland Valley Retina Medical Associates, Inc

  • Specialist
  • Temecula, CA
  • NPI 1659478600
  Medicare reassignment Care Compare group Authorized official
• Eyecare Medical Corporation

  • Ophthalmology Physician
  • Buena Park, CA
  • NPI 1427016120
  Medicare reassignment NPD
• Corona Surgery Center, LLC

  • Ophthalmology Physician
  • Corona, CA
  • NPI 1205077724
  NPD Authorized official
• Inland Valley Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Temecula, CA
  • NPI 1184978637
  NPD Authorized official
• Eyecare Medical Corporation

  • Ophthalmology Physician
  • Artesia, CA
  • NPI 1932580198

  Specialist

  NPD
• Menifee Valley Medical Center

  • General Acute Care Hospital
  • Sun City, CA
  • NPI 1881781482
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1215034335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41900 WINCHESTER RD",
            "address_2": "SUITE 201",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903403",
            "telephone_number": "951-679-0400",
            "fax_number": "951-672-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29798 HAUN RD",
            "address_2": "SUITE 200",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925866541",
            "telephone_number": "951-679-0400",
            "fax_number": "951-672-6667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1810 Fullerton Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928813110",
            "country_code": "US",
            "telephone_number": "951-679-0400",
            "fax_number": "951-672-6667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41900 Winchester Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925903426",
            "country_code": "US",
            "telephone_number": "951-679-0400",
            "fax_number": "951-672-6667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACHARSKI",
        "first_name": "PAUL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G44451",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G44451",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "G44451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G444510",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pblacharski@direct.ivretina.nextgenshare.com",
            "affiliation": "N",
            "address_1": "41900 Winchester Rd Ste 201",
            "city": "Temecula",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925903426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ankit Natvarlal Bhalodia, PHARM D
• Sonchita Bhuiyan
• Bienestar Therapy & Wellness Licensed Clinical Social Worker
• Shaylaray Bilandzija
• Alanna Bjorklund, SLP
• Ramona Bladon, LVN
• Blake Caropino Chiropractic Inc
• Rakyah Bogunovich
• Tyroshun Bohannon
• Amanda Nicole Bolton

• Retina Specialist (Ophthalmology) Physician in Menifee, CA
• Providers in Menifee, CA by specialty
• Retina Specialist (Ophthalmology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.