La Medical Retina, Inc.

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

Legal business name

LA MEDICAL RETINA, INC.

Doing business as

Visionary Retina Center

Practice address

23622 Calabasas Rd Ste 145
Calabasas, CA 91302-1589

Phone

(818) 797-1711

NPI assigned

Dec 29, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Pamela Golchet, MDNPI 1578774899

Title

President

Phone

(415) 310-0429

Specialties & licenses 1

Addresses

Other names 1

• Visionary Retina Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: pgolchet@visionaryretina.intellechartdirect.net

Practitioners 1

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

• Pamela Ronit Golchet, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Calabasas, CA
  • NPI 1578774899
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1356054803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23622 CALABASAS RD STE 145",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021589",
            "telephone_number": "818-797-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23622 CALABASAS RD STE 145",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021589",
            "telephone_number": "818-797-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA MEDICAL RETINA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "GOLCHET",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-310-0429",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionary Retina Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jena A Kravitz, PSY.D.
• Marilyn Laura Kroplick I, MD
• Karen Michele Kulchin, MSW LCSW
• Yukiko Isabella Kuranishi
• Catherine Ai Kusuhara, LMFT
• Cindy Gail Lacost, PSY.D.
• Ainah Lagrimas
• Henna Lala
• Kazhal Laleh
• Alison Lamoureux

• Retina Specialist (Ophthalmology) Physician in Calabasas, CA
• Providers in Calabasas, CA by specialty
• Retina Specialist (Ophthalmology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.