Individual provider Active NPI

Larisa A Canter, M.D.

  • Ophthalmology Physician
  • Newport Beach, CA
National Provider Identifier
1265506067
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A74350 Issued in CA
Practice address
400 Newport Center Dr Ste 200
Newport Beach, CA 92660-7601
Phone
(949) 644-1112
Fax
(949) 721-9676
NPI assigned
Nov 20, 2006
Last updated
Jun 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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 A74350 CA Primary

Addresses

Primary practice location

400 Newport Center Dr Ste 200
Newport Beach, CA 92660-7601

Mailing address

360 San Miguel Dr
Suite 307
Newport Beach, CA 92660-7853
Phone (949) 644-1112

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
I20050920000419 CA Practitioner - Ophthalmology 1153355276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

400 Newport Ctr Dr
Suite 200
Newport Beach, CA 92660-7639
Phone (949) 644-1112

Merit-based Incentive Payment System (MIPS)

Final score
95.16 of 100Reported as individual
Quality
90.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74350CAMDPharmacist
A74350CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Eye Care, a Medical Corporation Ophthalmology CurrentSince Dec 1, 2004 Accepting new patients
Old Newport Optometric Associates PastSince May 26, 2018 Accepting new patients
Hoag Memorial Hospital Presbyterian PastSince Dec 1, 2004 Accepting new patients

Locations

360 San Miguel Dr
Ste 307
Newport Beach, CA 92660
Phone (949) 721-0800

400 Newport Center Dr
Ste 200
Newport Beach, CA 92660
Phone (949) 644-1112

522 Old Newport Blvd
Newport Beach, CA 92663
Phone (949) 644-1112

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16772/brand/1/csg/1/fhir/r4
  • Direct secure messaging: larisa.canter.1@16772.direct.athenahealth.com
  • Direct secure messaging: lcanter@directaddress.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1265506067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR",
            "address_2": "SUITE 307",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607853",
            "telephone_number": "949-644-1112",
            "fax_number": "949-721-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR STE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607601",
            "telephone_number": "949-644-1112",
            "fax_number": "949-721-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTER",
        "first_name": "LARISA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A74350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.