Active NPI
John Patrick Carlson, MD
- Ophthalmology Physician
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A62397
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A623970 | Medicaid | CA |
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
Enrollment records 1
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 Corp
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 100
- Quality
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.53 of 100
- Quality
- 88.72
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.55
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.76 of 100
- Quality
- 85.08
- Improvement activities
- 40
- Cost
- 75.77
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62397 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| A62397 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inland Eye Specialists a Medical Corp | Current | Accepting new patients | |
| Inland Eye Specialists a Medical Corp | Current | Accepting new patients | |
| Retina Consultants of Southern Cal Medical Associates Inc | Ophthalmology | Current | Accepting new patients |
| Milauskas Eye Institute Medical Group II Inc | Ophthalmology | Current | Accepting new patients |
| Milauskas Eye Institute Medical Group II Inc | Ophthalmology | Current | Accepting new patients |
| Inland Eye Specialists a Medical Corp | Ophthalmology | Current | Accepting new patients |
| Inland Eye Specialists, a Medical Corporation | Ophthalmology | Current | 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
- john.carlson.p3@direct.inlandeyespecialists.nextgenshare.com
- john.carlson.p1@direct.milauskas.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Ophthalmology Physician
- Riverside, CA
- NPI 1710046842
-
- Ophthalmology Physician
- Palm Springs, CA
- NPI 1740349943
-
- Ophthalmology Physician
- Hemet, CA
- NPI 1083622567
-
- Ambulatory Surgical Clinic/Center
- Hemet, CA
- NPI 1386677326
-
- Ambulatory Surgical Clinic/Center
- Murrieta, CA
- NPI 1871538140
-
- Ophthalmology Physician
- Beaumont, CA
- NPI 1518615947
-
- Ophthalmology Physician
- La Quinta, CA
- NPI 1295803153
-
- Exclusive Provider Organization
- Apple Valley, CA
- NPI 1821018433
-
- Optometrist
- Temecula, CA
- NPI 1114950086
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
-
- Ophthalmology Physician
- Rancho Mirage, CA
- NPI 1235210584
-
- General Acute Care Hospital
- Murrieta, CA
- NPI 1386945947
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; 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.