Individual provider Active NPI

Gregory Allen Stainer, MD FACS

  • Ophthalmology Physician
  • La Jolla, CA
National Provider Identifier
1295729465
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G41135 Issued in CA
Practice address
1212 Skylark Dr
La Jolla, CA 92037-7738
Phone
(661) 717-0237
NPI assigned
Sep 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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 G41135 CA Primary

Addresses

Primary practice location

1212 Skylark Dr
La Jolla, CA 92037-7738

Mailing address

1212 Skylark Dr
La Jolla, CA 92037-7738
Phone (661) 717-0237

Other identifiers 2

IdentifierTypeStateIssuer
00G411350MedicaidCA
ZZZ37940ZMedicaidCA

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
I20110401000680 CA Practitioner - Ophthalmology 1153436886 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northwestern College of Chiropractic, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North County Eye Physicians, IncGroup PAC ID 1355507567, 9 clinicians
North County Eye Center, Inc.Group PAC ID 0143274225, 11 clinicians
California Retina Associates, LPGroup PAC ID 4284676966, 20 clinicians

Practice addresses (Care Compare)

15706 Pomerado Rd
Suite 103
Poway, CA 92064-2032
Phone (858) 451-8600

225 E 2ND Ave
Suite 310
Escondido, CA 92025-4202
Phone (760) 738-9985

835 3Rd Ave
Suite a
Chula Vista, CA 91911-1352
Phone 6194257755257755

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G41135CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory a Stainer, M.D. CurrentSince Jul 28, 2025 Accepting new patients
California Retina Associates, LP Ophthalmology CurrentSince Jun 30, 2020 Accepting new patients
North County Eye Center, Inc. Ophthalmology CurrentSince Nov 1, 2022 Accepting new patients
North County Eye Physicians, Inc Ophthalmology CurrentSince Nov 1, 2022 Accepting new patients
North County Eye Physicians, Inc Ophthalmology Past Accepting new patients
Afsaneh Amini, O.D., a Professional Optometric Corporation PastSince Dec 1, 2024 Accepting new patients

Locations

4649 Planz Rd
Bakersfield, CA 93309
Phone (661) 833-4040

835 Third Ave
Ste A
Chula Vista, CA 91911
Phone (619) 425-7755

231 W Main St
El Cajon, CA 92020
Phone (619) 425-7755

231 W Main St
Fl Second
El Cajon, CA 92020

1498 S La Brucherie Rd
El Centro, CA 92243
Phone (858) 775-5553

1452 S La Brucherie Rd
#A
El Centro, CA 92243

225 E 2nd Ave
Ste 310
Escondido, CA 92025
Phone (760) 738-9985

1118 W Valley Pkwy
Escondido, CA 92025
Phone (619) 425-7755

1520 E Plaza Blvd
National City, CA 91950
Phone (619) 425-7755

15706 Pomerado Rd
Ste 103
Poway, CA 92064
Phone (858) 451-8600

838 Nordahl Rd
Ste 220
San Marcos, CA 92069
Phone (760) 738-9985

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.

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1295729465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 SKYLARK DR",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377738",
            "telephone_number": "661-717-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 SKYLARK DR",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377738",
            "telephone_number": "661-717-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAINER",
        "first_name": "GREGORY",
        "middle_name": "ALLEN",
        "credential": "MD FACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G41135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G411350",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ37940Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.