Individual provider Active NPI

Nicole Topilow, MD

  • Ophthalmology Physician
  • San Diego, CA
National Provider Identifier
1215468376
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A171573 Issued in CA
Practice address
5330 Carroll Canyon Rd Ste 210
San Diego, CA 92121-3758
Phone
(858) 450-1010
Fax
(858) 450-9451
NPI assigned
Mar 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X A171573 CA Primary

Addresses

Primary practice location

5330 Carroll Canyon Rd Ste 210
San Diego, CA 92121-3758

Mailing address

PO Box 232410
San Diego, CA 92193-2410
Phone (800) 926-8273

Other practice location 1

200 W Arbor Dr
San Diego, CA 92103-9000
Phone (800) 926-8273

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
I20210811002218 CA Practitioner - Ophthalmology 6002210168 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Eye Institute a Medical Group IncGroup PAC ID 7911966122, 43 clinicians

Practice addresses (Care Compare)

3637 Vista Way
Oceanside, CA 92056-4522
Phone (760) 758-2008

Merit-based Incentive Payment System (MIPS)

Final score
82.83 of 100Reported as group
Quality
85
Promoting interoperability
94
Improvement activities
40
Cost
62.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A171573CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Ophthalmology CurrentSince Jun 1, 2021 Accepting new patients
Pacific Eye Institute, a Medical Group, Inc. Ophthalmology CurrentSince Nov 1, 2024 Accepting new patients
Pacific Eye Institute a Medical Group Inc CurrentSince Nov 1, 2024 Accepting new patients
Regents of the University of California CurrentSince Jun 1, 2021 Accepting new patients
Beaver Medical Group P C Past Accepting new patients
Ophthalmic Consultants of Long Island Ophthalmology PastSince May 30, 2023 Accepting new patients
Richmond E Roeske a Professional Corp Ophthalmology Past Accepting new patients

Locations

15099 Kamana Rd
Apple Valley, CA 92307

9834 Genesee Ave
Ste 200
La Jolla, CA 92037
Phone (858) 457-3050

File 57326
Los Angeles, CA 90074

3637 Vista Way
Oceanside, CA 92056
Phone (760) 758-2008

5330 Carroll Canyon Rd
Ste 210
San Diego, CA 92121
Phone (800) 765-2737

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

41877 Enterprise Cir N
Ste 110
Temecula, CA 92590
Phone (951) 296-2244

555 N 13th Ave
Upland, CA 91786
Phone (909) 982-8846

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ntopilow@pacificeyelaser.intellechartdirect.net

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1215468376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921932410",
            "telephone_number": "800-926-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 CARROLL CANYON RD STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213758",
            "telephone_number": "858-450-1010",
            "fax_number": "858-450-9451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W Arbor Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921039000",
            "country_code": "US",
            "telephone_number": "800-926-8273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOPILOW",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A171573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.