Individual provider Active NPI

John Patrick Carlson, MD

  • Ophthalmology Physician
  • Riverside, CA
National Provider Identifier
1215913199
Registry record updated May 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A62397 Issued in CA
Practice address
9041 Magnolia Ave
Suite 207
Riverside, CA 92503-3900
Phone
(951) 788-0222
Fax
(951) 784-2696
NPI assigned
Dec 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A62397 CA Primary

Addresses

Primary practice location

9041 Magnolia Ave
Suite 207
Riverside, CA 92503-3900

Mailing address

9041 Magnolia Ave
Suite 207
Riverside, CA 92503-3900
Phone (951) 788-0222

Other identifiers 1

IdentifierTypeStateIssuer
00A623970MedicaidCA

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
I20070611000720 CA Practitioner - Ophthalmology 9830125251 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Creighton University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inland Eye Specialists a Medical CorpGroup PAC ID 3375447964, shared by 5 NPIs, 18 clinicians
Milauskas Eye Institute Medical Group II, Inc.Group PAC ID 8224075585, 10 clinicians

Practice addresses (Care Compare)

3953 W Stetson Ave
Hemet, CA 92545-9687
Phone (951) 696-5388

72057 Dinah Shore Dr
Suite D
Rancho Mirage, CA 92270-1791
Phone (760) 340-3937

9041 Magnolia Ave
Suite 207
Riverside, CA 92503-3956
Phone (951) 788-0222

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.53 of 100Reported as group
Quality
88.72
Promoting interoperability
99
Improvement activities
40
Cost
77.55

Merit-based Incentive Payment System (MIPS)

Final score
86.76 of 100Reported as group
Quality
85.08
Improvement activities
40
Cost
75.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62397CAMDOrthodontics and Dentofacial Orthopedic Dentist
A62397CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Eye Specialists a Medical Corp CurrentSince Sep 8, 2010 Accepting new patients
Inland Eye Specialists a Medical Corp Current Accepting new patients
Retina Consultants of Southern Cal Medical Associates Inc Ophthalmology CurrentSince Apr 25, 2008 Accepting new patients
Milauskas Eye Institute Medical Group II Inc Ophthalmology CurrentSince Nov 1, 2020 Accepting new patients
Milauskas Eye Institute Medical Group II Inc Ophthalmology CurrentSince Nov 1, 2020 Accepting new patients
Inland Eye Specialists a Medical Corp Ophthalmology CurrentSince May 1, 2007 Accepting new patients
Inland Eye Specialists, a Medical Corporation Ophthalmology CurrentSince May 1, 2007 Accepting new patients
Corwin Medical Group Inc Ipa Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Inland Eye Specialists a Medical Corp Past Accepting new patients
St. Mary Medical Center Past Accepting new patients
Physicians' Hospital of Murrieta, LLC Past Accepting new patients
Milauskas Eye Institute Medical Group II Inc Ophthalmology Past Accepting new patients

Locations

18564 Outer Highway 18
Ste 109
Apple Valley, CA 92307
Phone (760) 779-5850

521 E Elder St
Ste 102
Fallbrook, CA 92028
Phone (760) 728-5728

78560 Highway 111
La Quinta, CA 92253
Phone (760) 564-3887

11340 Mountain View Ave
Ste B
Loma Linda, CA 92354
Phone 8882679605102

27168 Newport Rd
Ste 4
Menifee, CA 92584
Phone (951) 679-0545

25460 Medical Center Dr
Ste 103
Murrieta, CA 92562
Phone (951) 698-4575

25395 Hancock Ave
Ste 100
Murrieta, CA 92562
Phone (951) 696-5388

3190 Shelby St
Ste C
Ontario, CA 91764
Phone (840) 237-3004

41990 Cook St
Ste E502
Palm Desert, CA 92211
Phone (760) 834-3382

41990 Cook St
Ste 502
Palm Desert, CA 92211
Phone (760) 340-3937

72057 Dinah Shore Dr
Ste D
Rancho Mirage, CA 92270
Phone (760) 340-3937

1895 Orange Tree Ln
Ste 204
Redlands, CA 92374
Phone (909) 335-8940

9041 Magnolia Ave
Ste 207
Riverside, CA 92503
Phone (909) 788-0222

31950 Temecula Pkwy
Ste B-7
Temecula, CA 92592
Phone (909) 303-0575

15413 Anacapa Rd
Ste B6
Victorville, CA 92392

15413 Anacapa Rd
#6B
Victorville, CA 92392
Phone (760) 593-3950

14075 Hesperia Rd
Ste 208
Victorville, CA 92395
Phone (760) 243-2482

15413 Anacapa Rd
Ste 6B
Victorville, CA 92392

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: john.carlson.p3@direct.inlandeyespecialists.nextgenshare.com
  • Direct secure messaging: john.carlson.p1@direct.milauskas.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: john.carlson@795.chartlogic.direct-ci.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306454400000",
    "number": "1215913199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9041 MAGNOLIA AVE",
            "address_2": "SUITE 207",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033900",
            "telephone_number": "951-788-0222",
            "fax_number": "951-784-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9041 MAGNOLIA AVE",
            "address_2": "SUITE 207",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033900",
            "telephone_number": "951-788-0222",
            "fax_number": "951-784-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2011-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A62397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A623970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.