Ecs of Los Angeles I Optometry Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ECS OF LOS ANGELES I OPTOMETRY CORPORATION

Practice address

21612 Plano Trabuco Rd Ste C
Trabuco Canyon, CA 92679-3488

Phone

(618) 462-9818

NPI assigned

Dec 11, 2025

Organization subpart

No

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

Authorized official

Name

Melissa Allison

Title

Sr. Director MVC

Phone

(618) 604-5208

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 7

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

• Neda G Elijah, OD

  • Optometrist
  • Berkeley, CA
  • NPI 1427490077
  Medicare reassignment
• Joanna Hsia, O.D.

  • Optometrist
  • Costa Mesa, CA
  • NPI 1255631578
  Medicare reassignment
• Michael Richard Kostura II, O.D.

  • Optometrist
  • Trabuco Canyon, CA
  • NPI 1700913829
  Medicare reassignment
• Anne Cindy Lee, OD, FAAO

  • Pediatric Optometrist
  • Hawthorne, CA
  • NPI 1366440018
  Medicare reassignment
• Timothy Scott Liegler, OD

  • Optometrist
  • Huntington Beach, CA
  • NPI 1336250331
  Medicare reassignment
• Vy Pham, OD

  • Optometrist
  • Hermosa Beach, CA
  • NPI 1417485624
  Medicare reassignment
• Dana Ann Nakagawa, OD

  • Optometrist
  • Rancho Palos Verdes, CA
  • NPI 1346972841
  NPD

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

{
    "created_epoch": "1765411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1356205652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 4TH ST ALTON IL 62002",
            "address_2": "SUITE 440",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "62002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21612 PLANO TRABUCO RD STE C",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926793488",
            "telephone_number": "618-462-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECS OF LOS ANGELES I OPTOMETRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-11",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "SR. DIRECTOR MVC",
        "authorized_official_telephone_number": "618-604-5208"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Dina, RADT
• Ericka Donahoe
• Diana Joy Dotson, RAC
• Cynthia Dreyer, L.V.N.
• Dorcas Mouray Eaves, M.D.
• Anevay El Fattal I, RADT-I
• Lori Ann Escobar, RADT
• Nafiseh Esfahani, PSY.D.
• Alvin Pelayo Evangelista, L.V.N.
• Monica Fajardo

• Optometrist in Trabuco Canyon, CA
• Providers in Trabuco Canyon, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.