Individual provider Active NPI

Mitchell Curtis Latter, MD

  • Ophthalmology Physician
  • South Pasadena, CA
National Provider Identifier
1255411625
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G40013 Issued in CA
Practice address
1499 Huntington Dr Ste 508
South Pasadena, CA 91030-5464
Phone
(626) 799-9588
Fax
(626) 799-9339
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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 G40013 CA Primary

Addresses

Primary practice location

1499 Huntington Dr Ste 508
South Pasadena, CA 91030-5464

Mailing address

1499 Huntington Dr Ste 508
South Pasadena, CA 91030-5464
Phone (626) 799-9588

Other practice location 1

10230 Artesia Blvd Ste 204
Bellflower, CA 90706-6768
Phone (562) 920-8829

Other identifiers 1

IdentifierTypeStateIssuer
00G400130MedicaidCA

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
I20090528000192 CA Practitioner - Ophthalmology 0042369852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Cincinnati College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1499 Huntington Dr
Suite 508
South Pasadena, CA 91030-5464
Phone (626) 799-9588

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery52

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell C Latter M D Inc a Prof Corp Ophthalmology CurrentSince May 5, 2009 Accepting new patients
Mitchell C Latter MD Inc a Prof Corp CurrentSince Jul 24, 1998 Accepting new patients
Mitchell C Latter M D Inc a Prof Corp Ophthalmology Past Accepting new patients
Ahmc San Gabriel Valley Medical Ophthalmology Past Accepting new patients
Mitchell C Latter M D Inc a Prof Corp Ophthalmology Past Accepting new patients

Locations

10230 Artesia Blvd
Ste 204
Bellflower, CA 90706
Phone (562) 920-8829

375 Huntington Dr
Ste F
San Marino, CA 91108
Phone (626) 270-1580

1499 Huntington Dr
Ste 508
South Pasadena, CA 91030
Phone (626) 799-9588

Organizations & group practices 5

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1255411625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 HUNTINGTON DR STE 508",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910305464",
            "telephone_number": "626-799-9588",
            "fax_number": "626-799-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 HUNTINGTON DR STE 508",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910305464",
            "telephone_number": "626-799-9588",
            "fax_number": "626-799-9339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10230 Artesia Blvd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Bellflower",
            "state": "CA",
            "postal_code": "907066768",
            "country_code": "US",
            "telephone_number": "562-920-8829",
            "fax_number": "562-920-1305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LATTER",
        "first_name": "MITCHELL",
        "middle_name": "CURTIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G40013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G400130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, CA

Sources for this page

Verify at the official NPI Registry.