Retina Associates Medical Group Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

RETINA ASSOCIATES MEDICAL GROUP INC

Practice address

436 S Glassell St
Orange, CA 92866-1906

Phone

(714) 633-6060

Fax

(714) 633-7470

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Robert F Ruper, MD

Title

Owner

Phone

(714) 633-6060

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• THE RETINA INSTITUTE Doing business as

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1386669265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 S GLASSELL ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928661906",
            "telephone_number": "714-633-6060",
            "fax_number": "714-633-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 S GLASSELL ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928661906",
            "telephone_number": "714-633-6060",
            "fax_number": "714-633-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA ASSOCIATES MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "RUPER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-633-6060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C300760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE RETINA INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Responsive Hospice, Inc.
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• Heather Retama
• Marco Antonio Retiguin
• Retina Associates Medical Group, Inc.
• Retina Specialists of Orange County, Inc.
• Mark A Rettenmaier, M.D.
• Ganna Revega
• Jourdin Rachael Revels

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.