Individual provider Active NPI

Richard Dominic Pesavento, M.D.

  • Ophthalmology Physician
  • Riverside, CA
National Provider Identifier
1396721635
Registry record updated May 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G44858 Issued in CA
Practice address
9041 Magnolia Ave
Suite 207
Riverside, CA 92503-3900
Phone
(951) 788-0222
Fax
(951) 784-2696
NPI assigned
Dec 19, 2005
Last updated
May 27, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G44858 CA Primary

Addresses

Primary practice location

9041 Magnolia Ave
Suite 207
Riverside, CA 92503-3900

Mailing address

9041 Magnolia Ave
Suite 207
Riverside, CA 92503-3900
Phone (951) 788-0222

Other identifiers 1

IdentifierTypeStateIssuer
00G448580MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090629000102 CA Practitioner - Ophthalmology 4880627181 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.76 of 100Reported as group
Quality
85.08
Improvement activities
40
Cost
75.77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Eye Specialists a Medical Corp Ophthalmology Current Accepting new patients
Inland Eye Specialists a Medical Corp CurrentSince Apr 18, 2016 Accepting new patients
Milauskas Eye Institute Medical Group II Inc Ophthalmology CurrentSince Oct 1, 2020 Accepting new patients
Inland Eye Specialists a Medical Corp CurrentSince Apr 18, 2016 Accepting new patients
Retina Consultants of Southern Cal Medical Associates Inc Ophthalmology CurrentSince Sep 8, 2000 Accepting new patients
Milauskas Eye Institute Medical Group II Inc Ophthalmology Current Accepting new patients
Tufts Medical Center, Inc. Past Accepting new patients
Primecare Medical Group Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Northeast Hospital Corporation Past Accepting new patients
Massachusetts Eye and Ear Infirmary Past Accepting new patients
St. Mary Medical Center Past Accepting new patients
Corwin Medical Group Inc Ipa Past Accepting new patients

Locations

78560 Highway 111
La Quinta, CA 92253
Phone (760) 564-3887

25395 Hancock Ave
Ste 100
Murrieta, CA 92562
Phone (951) 696-5388

41990 Cook St
Ste 502
Palm Desert, CA 92211
Phone (760) 340-3937

72057 Dinah Shore Dr
Ste D
Rancho Mirage, CA 92270
Phone (760) 340-3937

1895 Orange Tree Ln
Ste 204
Redlands, CA 92374
Phone (909) 335-8940

6840 Indiana Ave
Ste 120
Riverside, CA 92506
Phone (909) 788-0222

9041 Magnolia Ave
Ste 207
Riverside, CA 92503
Phone (909) 788-0222

31950 Temecula Pkwy
Ste B-7
Temecula, CA 92592
Phone (909) 303-0575

15413 Anacapa Rd
#6B
Victorville, CA 92392
Phone (760) 593-3950

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: richard.pesavento.p1@direct.milauskas.nextgenshare.com
  • Direct secure messaging: richard.pesavento.p3@direct.inlandeyespecialists.nextgenshare.com
  • Direct secure messaging: richard.pesavento@795.chartlogic.direct-ci.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306454400000",
    "number": "1396721635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9041 MAGNOLIA AVE",
            "address_2": "SUITE 207",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033900",
            "telephone_number": "951-788-0222",
            "fax_number": "951-784-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9041 MAGNOLIA AVE",
            "address_2": "SUITE 207",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033900",
            "telephone_number": "951-788-0222",
            "fax_number": "951-784-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESAVENTO",
        "first_name": "RICHARD",
        "middle_name": "DOMINIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2011-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G44858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G448580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.