Organization Active NPI

Jules Stein Eye Institute Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Pasadena, CA
National Provider Identifier
1346695863
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JULES STEIN EYE INSTITUTE MEDICAL GROUP
Practice address
625 S Fair Oaks Ave
Suite 280
Pasadena, CA 91105-2613
Phone
(626) 817-4747
NPI assigned
May 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Authorized official

Name
Dr. Bartly J Mondino, MD
Title
Chairman
Phone
(626) 817-4747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

625 S Fair Oaks Ave
Suite 280
Pasadena, CA 91105-2613

Mailing address

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-8707

Other names 1

  • Doheny Eye Center UCLA - Pasadena Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1346695863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-301-8707",
            "fax_number": "310-301-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S FAIR OAKS AVE",
            "address_2": "SUITE 280",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052613",
            "telephone_number": "626-817-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULES STEIN EYE INSTITUTE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "MONDINO",
        "authorized_official_first_name": "BARTLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "626-817-4747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doheny Eye Center UCLA - Pasadena",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Doheny Eye Center UCLA - Pasadena",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.