Individual provider Active NPI

Timothy James Peiris, MD

  • Retina Specialist (Ophthalmology) Physician
  • Santa Fe Springs, CA
National Provider Identifier
1295234276
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
A173295 Issued in CA
Practice address
12400 Bloomfield Ave FL 1
Santa Fe Springs, CA 90670-4750
Phone
(562) 967-2820
NPI assigned
Feb 6, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207WX0107X A173295 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X A173295 CA

Addresses

Primary practice location

12400 Bloomfield Ave FL 1
Santa Fe Springs, CA 90670-4750

Mailing address

12400 Bloomfield Ave FL 1
Santa Fe Springs, CA 90670-4750
Phone (562) 967-2820

Other practice location 1

350 Engle St
Englewood, NJ 07631-1808
Phone (201) 894-3000

Other practice location 2

100 Stein Plz
Los Angeles, CA 90095-1808
Phone (310) 825-3090

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
I20210713000148 CA Practitioner - Ophthalmology 0042554859 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rutgers New Jersey Medical School, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

Practice addresses (Care Compare)

12400 Bloomfield Ave
Santa Fe Springs, CA 90670-4750
Phone (562) 967-2820

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A173295CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince Apr 16, 2024 Accepting new patients
Pih Health Physicians CurrentSince Apr 16, 2024 Accepting new patients
Peter Ho Win MD Inc Multi-Specialty CurrentSince Oct 1, 2022 Accepting new patients
Pih Health Physicians Multi-Specialty Current Accepting new patients

Locations

234 S 1st Ave
Ste 101
Arcadia, CA 91006
Phone (626) 447-7008

234 S 1st Ave
#101
Arcadia, CA 91006

5562 Philadelphia St
Ste 312
Chino, CA 91710
Phone (909) 986-5800

18575 Gale Ave
Ste 218
City of Industry, CA 91748
Phone (626) 581-1200

121 W Whittier Blvd
Ste 100
La Habra, CA 90631
Phone (562) 694-2500

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

12400 Bloomfield Ave
Fl 1
Santa Fe Springs, CA 90670
Phone (562) 967-2820

12400 Bloomfield Ave
Santa Fe Springs, CA 90670
Phone (562) 789-5434

12401 Washington Blvd
Whittier, CA 90602
Phone (562) 698-0611

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: tpeiris905255@direct.uclahealth.org
  • Direct secure messaging: timothypeiris@pihh.allscriptsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1295234276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 BLOOMFIELD AVE FL 1",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906704750",
            "telephone_number": "562-967-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 BLOOMFIELD AVE FL 1",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906704750",
            "telephone_number": "562-967-2820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Engle St",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "NJ",
            "postal_code": "076311808",
            "country_code": "US",
            "telephone_number": "201-894-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Stein Plz",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900951808",
            "country_code": "US",
            "telephone_number": "310-825-3090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEIRIS",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "A173295",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A173295",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe Springs, CA

Sources for this page

Verify at the official NPI Registry.