Individual provider Active NPI

Reid Maxwell Wainess, MD

  • Ophthalmology Physician
  • Arcadia, CA
National Provider Identifier
1396935979
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A108766 Issued in CA
Practice address
288 N Santa Anita Ave Ste 403
Arcadia, CA 91006-3183
Phone
(626) 269-5371
Fax
(626) 574-0488
NPI assigned
Jul 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A108766 CA
Ophthalmology Physician 207W00000X A108766 CA Primary

Addresses

Primary practice location

288 N Santa Anita Ave Ste 403
Arcadia, CA 91006-3183

Mailing address

100 E California Blvd
Pasadena, CA 91105-3205
Phone (626) 568-8838

Other practice location 1

100 E California Blvd
Pasadena, CA 91105-3205
Phone (800) 898-2020

Other practice location 2

44815 Fig Ave
Lancaster, CA 93534-3144
Phone (800) 898-2020

Other practice location 3

1127 Wilshire Blvd Ste 504
Los Angeles, CA 90017-3906
Phone (800) 898-2020

Other identifiers 3

IdentifierTypeStateIssuer
1396935979MedicaidCA
CA192912OtherCANO MEDICARE
CB252717OtherCASO MEDICARE

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
I20110926000815 CA Practitioner - Ophthalmology 9638340524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Michigan Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2400 N Broadway
Los Angeles, CA 90031-2218
Phone (323) 221-8000

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery209

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A108766CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Institute of California Medical Group, a California Medical Par Ophthalmology CurrentSince Aug 1, 2014 Accepting new patients
Trilogy Eye Medical Group Inc Ophthalmology CurrentSince Dec 1, 2012 Accepting new patients
Ahmc San Gabriel Valley Medical Ophthalmology Past Accepting new patients
Trinity Surgical Solutions, Inc Past Accepting new patients
Barry a. Katzman, M.D., Inc Apc Past Accepting new patients

Locations (25 of 38)

500 S Anaheim Hills Rd
Ste 234
Anaheim, CA 92807
Phone (714) 282-5437

301 W Huntington Dr
Ste 107
Arcadia, CA 91007
Phone (626) 574-0020

301 W Huntington Dr
Arcadia, CA 91007
Phone (626) 218-9840

288 N Santa Anita Ave
Ste 403
Arcadia, CA 91006
Phone (626) 574-0009

9500 Stockdale Hwy
Ste 108
Bakersfield, CA 93311
Phone (661) 663-8500

116 N Plaza St
Brawley, CA 92227
Phone (760) 344-4330

17833 Colima Rd
City of Industry, CA 91748
Phone (626) 964-8864

1640 Newport Blvd
Ste 220
Costa Mesa, CA 92627
Phone (949) 650-4362

11525 Brookshire Ave
Downey, CA 90241
Phone (562) 861-0954

1420 Ocotillo Dr
Ste D
El Centro, CA 92243
Phone (760) 353-1140

700 W El Norte Pkwy
Escondido, CA 92026
Phone (760) 738-7830

700 W El Norte Pkwy
Ste 200
Escondido, CA 92026
Phone (607) 435-8727

1950 Sunny Crest Dr
Ste 3200
Fullerton, CA 92835
Phone (714) 278-1829

2240 N Harbor Blvd
Ste 210
Fullerton, CA 92835
Phone (714) 278-1834

435 Arden Ave
Ste 430435
Glendale, CA 91203
Phone (818) 539-8016

18582 Main St
Huntington Beach, CA 92648
Phone (714) 843-5700

5565 Grossmont Center Dr
Ste 551
La Mesa, CA 91942
Phone (619) 465-2020

47474 Washington St
La Quinta, CA 92253
Phone (760) 469-5213

1911 Foothill Blvd
Ste A
La Verne, CA 91750
Phone (626) 596-5900

44815 Fig Ave
Lancaster, CA 93534
Phone (661) 206-8469

44815 Fig Ave
Ste 100
Lancaster, CA 93534
Phone (661) 802-7978

3816 Woodruff Ave
Ste 100
Long Beach, CA 90808
Phone (562) 424-0931

1127 Wilshire Blvd
Ste 504
Los Angeles, CA 90017
Phone (213) 413-7301

2400 N Broadway
Los Angeles, CA 90031
Phone (323) 221-6121

40690 California Oaks Rd
Ste B
Murrieta, CA 92562
Phone (909) 698-5765

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1396935979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CALIFORNIA BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053205",
            "telephone_number": "626-568-8838",
            "fax_number": "626-796-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 N SANTA ANITA AVE STE 403",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063183",
            "telephone_number": "626-269-5371",
            "fax_number": "626-574-0488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E California Blvd",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911053205",
            "country_code": "US",
            "telephone_number": "800-898-2020",
            "fax_number": "800-898-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44815 Fig Ave",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935343144",
            "country_code": "US",
            "telephone_number": "800-898-2020",
            "fax_number": "844-897-3788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1127 Wilshire Blvd Ste 504",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900173906",
            "country_code": "US",
            "telephone_number": "800-898-2020",
            "fax_number": "844-897-3788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAINESS",
        "first_name": "REID",
        "middle_name": "MAXWELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A108766",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A108766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396935979",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NO MEDICARE",
            "identifier": "CA192912",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SO MEDICARE",
            "identifier": "CB252717",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.