Organization Active NPI

California's Advanced Institute of Vision Medical Group, Inc

  • Ophthalmology Physician
  • Stockton, CA
National Provider Identifier
1215928775
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CALIFORNIA'S ADVANCED INSTITUTE OF VISION MEDICAL GROUP, INC
Practice address
1801 E March Lane C350
Stockton, CA 95210-6674
Phone
(209) 474-2121
Fax
(209) 474-1181
NPI assigned
Nov 3, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Harold Edward Hand Jr., MDNPI 1891703229
Title
Ophthalmology
Phone
(209) 474-2121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1801 E March Lane C350
Stockton, CA 95210-6674

Mailing address

1801 E March Lane C350
Stockton, CA 95210-6674
Phone (209) 474-2121

Other identifiers 1

IdentifierTypeStateIssuer
GR0094060MedicaidCA

National Provider Directory

National Provider Directory

Locations

36 W Yokuts Ave
Ste 2
Stockton, CA 95207
Phone (209) 474-2121

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215928775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 E MARCH LANE C350",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952106674",
            "telephone_number": "209-474-2121",
            "fax_number": "209-474-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E MARCH LANE C350",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952106674",
            "telephone_number": "209-474-2121",
            "fax_number": "209-474-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA'S ADVANCED INSTITUTE OF VISION MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAND",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OPHTHALMOLOGY",
        "authorized_official_telephone_number": "209-474-2121",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0094060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.