NPIMap

Organization Active NPI

Inland Eye Specialists a Medical Corp

Doing business as Inland Eye Specialists

  • Ambulatory Surgical Clinic/Center
  • Hemet, CA
National Provider Identifier
1386677326
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
250000263 Issued in CA
Legal business name
INLAND EYE SPECIALISTS A MEDICAL CORP
Doing business as
Inland Eye Specialists
Practice address
3953 W. Stetson Ave.
Hemet, CA 92545
Phone
(951) 652-4343
Fax
(951) 658-3953
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Authorized official

Name
Mr. George Neal
Title
Assistant Secretary
Phone
(844) 377-6468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 250000263 CA Primary

Addresses

Primary practice location

3953 W. Stetson Ave.
Hemet, CA 92545

Mailing address

PO Box 845426
Los Angeles, CA 90084-9687
Phone (951) 652-4343

Other identifiers 1

IdentifierTypeStateIssuer
SUR01623FMedicaidCA

Other names 1

  • Inland Eye Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181012000207 CA Part B Supplier - Ambulatory Surgical Center 3375447964 Receives reassigned benefits from 7 practitioners
Practice locations: Hemet, CA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Inland Eye Specialists a Medical CorpCCN 05C0001076
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1019482Inland Eye Specialists Surgery Center3953 W Stetson Ave, Hemet, CA 92545Certificate of waiverNov 18, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1386677326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845426",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900849687",
            "telephone_number": "951-652-4343",
            "fax_number": "951-266-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3953 W. STETSON AVE.",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "92545",
            "telephone_number": "951-652-4343",
            "fax_number": "951-658-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND EYE SPECIALISTS A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "844-377-6468",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "250000263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR01623F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inland Eye Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.