Active NPI
Swaraj Bose, MD
- Ophthalmology Physician
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 000000A65554
- Practice address
- Uci Medical Center
101 The City Drive South
Orange, CA 92868 - Phone
- (714) 456-8978
- NPI assigned
- Oct 16, 2006
- 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 | 000000A65554 | CA | Primary |
Addresses
Primary practice location
Uci Medical Center
101 The City Drive South
Orange, CA 92868
Mailing address
Uci Ophthalmology Group
PO Box 51055
Los Angeles, CA 90051-5355
Phone (714) 456-6369
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180046399 | Other | CA | RR MEDICARE |
| 180039770 | Other | CA | RR MEDICARE |
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
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8631 W 3Rd St
Suite 200E
Los Angeles, CA 90048-5942
Phone (310) 469-9080
Hospital & facility affiliations
- Cedars-Sinai Medical Center
- Ronald Reagan UCLA Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000000A65554 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swaraj Bose, MD, Inc | Ophthalmology | Current | Accepting new patients |
| University of California Irvine | Past | Accepting new patients | |
| Cedars-Sinai Medical Center | Past | Accepting new patients | |
| Brotman Medical Center, Inc. | Ophthalmology | Past | Accepting new patients |
| Southern California Healthcare System, Inc | Past | Accepting new patients |
Locations
8631 W 3rd St
Ste 200E
Los Angeles, CA 90048
Phone (310) 289-1518
Interoperability endpoints
- sbose102372@direct.cshs.org
- swaraj.bose.1@11460.direct.athenahealth.com
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.
-
- Ophthalmology Physician
- Los Angeles, CA
- NPI 1164893236
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- Psychiatric Hospital Unit
- Culver City, CA
- NPI 1487905725
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207958400000",
"number": "1285714360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UCI OPHTHALMOLOGY GROUP",
"address_2": "PO BOX 51055",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900515355",
"telephone_number": "714-456-6369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UCI MEDICAL CENTER",
"address_2": "101 THE CITY DRIVE SOUTH",
"city": "ORANGE",
"state": "CA",
"postal_code": "92868",
"telephone_number": "714-456-8978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSE",
"first_name": "SWARAJ",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2008-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "000000A65554",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "180046399",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "180039770",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2008; 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.