Active NPI
Talia Kolin, M.D.
- Ophthalmology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G64713
- Practice address
- 4036 Whittier Blvd
Suite 202
Los Angeles, CA 90023-2560 - Phone
- (323) 262-3333
- Fax
- (323) 262-3333
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | G64713 | CA | Primary |
Addresses
Primary practice location
4036 Whittier Blvd
Suite 202
Los Angeles, CA 90023-2560
Mailing address
10842 Portofino PL
Los Angeles, CA 90077-2301
Phone (323) 262-3333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G647131 | Medicaid | CA |
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
- Icahn School of Medicine at Mount Sinai, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4650 W Sunset Blvd
Los Angeles, CA 90027-6062
Phone (323) 361-8408
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G64713 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Los Angeles Medical Group, Inc. | Current | Accepting new patients | |
| Children'S Hospital Los Angeles | Past | Accepting new patients | |
| Providence Health System - Southern California | Past | Accepting new patients | |
| Childrens Hospital of Los Angeles | Past | Accepting new patients | |
| White Memorial Medical Center | Past | Accepting new patients | |
| Marcos Lemor, MD a Medical Corporation | Ophthalmology | Past | Accepting new patients |
| Eladh, LP | Past | Accepting new patients |
Locations
4650 W Sunset Blvd
#88
Los Angeles, CA 90027
Phone (323) 361-2344
4650 W Sunset Blvd
Ste 88
Los Angeles, CA 90027
4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1265530653
-
- Children's Chronic Disease Hospital
- Los Angeles, CA
- NPI 1366527954
-
- Children's Hospital
- Los Angeles, CA
- NPI 1124073366
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1417957473
-
- Ophthalmology Physician
- Los Angeles, CA
- NPI 1831406743
-
- General Acute Care Hospital
- Burbank, CA
- NPI 1336173269
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1215927470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1285720680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10842 PORTOFINO PL",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900772301",
"telephone_number": "323-262-3333",
"fax_number": "323-262-3528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4036 WHITTIER BLVD",
"address_2": "SUITE 202",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900232560",
"telephone_number": "323-262-3333",
"fax_number": "323-262-3333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLIN",
"first_name": "TALIA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "G64713",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G647131",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.