Retina San Diego

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A125387 Issued in CA

Legal business name

RETINA SAN DIEGO

Practice address

477 N El Camino Real Ste C302
Encinitas, CA 92024-1354

Phone

(760) 300-3270

NPI assigned

Mar 12, 2015

Last updated

May 17, 2019By 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. Arash Mozayan Isfahani, M.D.NPI 1093948176

Title

Ceo

Phone

(760) 300-3270

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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.

• Arash Mozayan Isfahani, M.D.

  • Ophthalmology Physician
  • Encinitas, CA
  • NPI 1093948176
  Medicare reassignment NPD Authorized official
• Margot J Aiken, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Oceanside, CA
  • NPI 1952476236
  NPD (past)
• Douglas Glynn Bolitho, M.D.

  • Plastic Surgery Physician
  • La Jolla, CA
  • NPI 1740488196
  NPD (past)
• Neysa Dale Whiteman, MD

  • Gynecology Physician
  • Encinitas, CA
  • NPI 1194818252
  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": "1558051200000",
    "number": "1235522319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 N EL CAMINO REAL STE C302",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241354",
            "telephone_number": "760-300-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 N EL CAMINO REAL STE C302",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241354",
            "telephone_number": "760-300-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-12",
        "last_updated": "2019-05-17",
        "status": "A",
        "authorized_official_last_name": "MOZAYAN ISFAHANI",
        "authorized_official_first_name": "ARASH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-300-3270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A125387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee M. Dupont, MD, Inc
• Cecily A Resnick, PHD
• Restore Family Therapy, Inc.
• Katalin Reszegi, PHD, LP
• Retina Institute of California Medical Group, a California Medical Par
• Wendy Diane Retzer, MPT
• Marla Flores Reves, MFT
• Revivership
• Peggy Ann Reynolds, IBCLC
• Victoria Lee Reynolds, FNP

• Ophthalmology Physician in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.