NPIMap

Organization Active NPI

California Retina Consultants

Doing business as California Retina Consultants, a Professional Medical Corporation

  • Retina Specialist (Ophthalmology) Physician
  • Santa Barbara, CA
National Provider Identifier
1386737617
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
Legal business name
CALIFORNIA RETINA CONSULTANTS
Doing business as
California Retina Consultants, a Professional Medical Corporation
Practice address
525 E Micheltorena St
Suite a
Santa Barbara, CA 93103-2254
Phone
(805) 963-1648
Fax
(805) 965-5214
NPI assigned
Sep 30, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Paul Andre Degrow
Title
C.O.O.
Phone
(805) 966-7085

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU
Retina Specialist (Ophthalmology) Physician 207WX0107X NU Primary

Addresses

Primary practice location

525 E Micheltorena St
Suite a
Santa Barbara, CA 93103-2254

Mailing address

525 E Micheltorena St
Suite a
Santa Barbara, CA 93103-2254
Phone (805) 963-1648

Other practice location 1

31355 Oak Crest Dr Ste 200
Westlake Village, CA 91361-4681
Phone (805) 695-2462

Other practice location 2

611 E Ocean Ave
Lompoc, CA 93436-6914
Phone (805) 740-3080

Other identifiers 2

IdentifierTypeStateIssuer
GR0087480MedicaidCA
ZZZ60751ZOtherCABLUE SHIELD GROUP #

Other names 1

  • California Retina Consultants, a Professional Medical Corporation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040408001116 CA Part B Supplier - Clinic/Group Practice 6608860135 Receives reassigned benefits from 16 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Palmdale, CA; Westlake Village, CA; Valencia, CA; Simi Valley, CA; Santa Maria, CA; San Luis Obispo, CA; Paso Robles, CA; Oxnard, CA…

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
05D2030499California Retina Consultants525 E. Micheltorena St. Ste a, Santa Barbara, CA 93103Certificate of waiverSep 24, 2026

National Provider Directory

National Provider Directory
Tax ID family
California Retina Consultants10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Interoperability endpoints

  • Direct secure messaging: acastellarin@caretina.intellechartdirect.net
  • Direct secure messaging: aclark@caretina.intellechartdirect.net
  • Direct secure messaging: agupta@caretina.intellechartdirect.net
  • Direct secure messaging: ddhoot@caretina.intellechartdirect.net
  • Direct secure messaging: dlearned@caretina.intellechartdirect.net
  • Direct secure messaging: dpieramici@caretina.intellechartdirect.net
  • Direct secure messaging: dyang@caretina.intellechartdirect.net
  • Direct secure messaging: nsteinle@caretina.intellechartdirect.net
  • Direct secure messaging: ravery@caretina.intellechartdirect.net
  • Direct secure messaging: scouvillion@caretina.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1386737617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E MICHELTORENA ST",
            "address_2": "SUITE A",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931032254",
            "telephone_number": "805-963-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E MICHELTORENA ST",
            "address_2": "SUITE A",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931032254",
            "telephone_number": "805-963-1648",
            "fax_number": "805-965-5214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31355 Oak Crest Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Westlake Village",
            "state": "CA",
            "postal_code": "913614681",
            "country_code": "US",
            "telephone_number": "805-695-2462",
            "fax_number": "805-456-2962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "611 E Ocean Ave",
            "address_purpose": "LOCATION",
            "city": "Lompoc",
            "state": "CA",
            "postal_code": "934366914",
            "country_code": "US",
            "telephone_number": "805-740-3080",
            "fax_number": "805-880-5915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CALIFORNIA RETINA CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DEGROW",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ANDRE",
        "authorized_official_title_or_position": "C.O.O.",
        "authorized_official_telephone_number": "805-966-7085"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0087480",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP #",
            "identifier": "ZZZ60751Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Retina Consultants, a Professional Medical Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.