Retina Institute of California Medical Group, a California Medical Par

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR

Practice address

1801 E Tahquitz Canyon Way Ste 200&201
Palm Springs, CA 92262-7120

Phone

(760) 327-2700

Fax

(760) 327-2799

NPI assigned

Mar 12, 2015

Last updated

Mar 28, 2022By 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

Dr. Tom S Chang, MDNPI 1609848969

Title

Chief Operating Officer

Phone

(626) 568-8838

Specialties & licenses 3

Addresses

Locations

Practitioners 3

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.

• Tom S Chang, MD

  • Retina Specialist (Ophthalmology) Physician
  • Pasadena, CA
  • NPI 1609848969
  Authorized official Same address or phone
• Tarek Alasil, MD

  • Retina Specialist (Ophthalmology) Physician
  • Los Angeles, CA
  • NPI 1003072786
  NPD (past)
• Jeffrey Lyle Stevens, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Pasadena, CA
  • NPI 1114254711
  NPD (past)

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1215320429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CALIFORNIA BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053205",
            "telephone_number": "626-568-8868",
            "fax_number": "626-574-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E TAHQUITZ CANYON WAY STE 200&201",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627120",
            "telephone_number": "760-327-2700",
            "fax_number": "760-327-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-12",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "626-568-8838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "A69909",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A69909",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regional Diagnostic Imaging
• Yanira Regla
• Rachel Ann Reidinger, CRNA
• Danya Caroline Rembert
• Tea A Renata
• Shari M Reville, PH.D.
• Angela Reyes
• Clarence Daisuke Reyes, DO
• Rachel Reyes
• Semeli Reyes, SLP

• Ophthalmology Physician in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.

Verify at the official NPI Registry.