Claremont Eye Associates Medical Group

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

CLAREMONT EYE ASSOCIATES MEDICAL GROUP

Practice address

655 E Foothill Blvd
Claremont, CA 91711-3511

Phone

(909) 624-8077

Fax

(909) 624-1467

NPI assigned

May 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John J McDermott III, MDNPI 1366533978

Title

General Partner

Phone

(909) 624-8077

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John J McDermott III, M.D.

  • Ophthalmology Physician
  • Claremont, CA
  • NPI 1366533978
  Medicare reassignment Care Compare group NPD Authorized official
• Sunil M Shivaram, M.D.

  • Ophthalmology Physician
  • Claremont, CA
  • NPI 1942393566
  Medicare reassignment Care Compare group NPD
• Anil M Shivaram, M.D.

  • Ophthalmology Physician
  • Claremont, CA
  • NPI 1346426293
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1306003389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 E FOOTHILL BLVD",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113511",
            "telephone_number": "909-624-8077",
            "fax_number": "909-624-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 E FOOTHILL BLVD",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113511",
            "telephone_number": "909-624-8077",
            "fax_number": "909-624-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAREMONT EYE ASSOCIATES MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "MCDERMOTT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "909-624-8077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1438533",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4172332",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karla Chuquimia, LCSW
• Janice C. Ciccarelli, PH.D.
• Ilaria Cipolla, LMT
• Claremont Counseling and Support Center a Psychological Corporation
• Claremont Design Dentistry
• Claremont Optometry Group
• Claremont Psychological Services Inc
• Claremont Psychotherapy
• Claremont Senior Living LLC
• Claremont Serenity Dentistry

• Ophthalmology Physician in Claremont, CA
• Providers in Claremont, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.