Active NPI
Southern California Retina Specialists, Inc.
- Ophthalmology Physician
- West Hills, CA
National Provider Identifier
1407214489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A79690
- Legal business name
- SOUTHERN CALIFORNIA RETINA SPECIALISTS, INC.
- Practice address
- 7320 Woodlake Ave
Suite 360
West Hills, CA 91307-1468 - Phone
- (818) 884-9378
- Fax
- (818) 884-9407
- NPI assigned
- Feb 4, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David S Kim, M.D.
- Title
- President
- Phone
- (818) 884-9378
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A79690 | CA | Primary |
Addresses
Primary practice location
7320 Woodlake Ave
Suite 360
West Hills, CA 91307-1468
Mailing address
7320 Woodlake Ave
Suite 360
West Hills, CA 91307-1468
Phone (818) 884-9378
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7320 Woodlake Ave
Ste 360
West Hills, CA 91307
Phone (818) 884-9378
Interoperability endpoints
- https://app.meldrx.com/api/fhir/sc76rs34
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Glendale, CA
- NPI 1952320574
-
- Ophthalmology Physician
- Beverly Hills, CA
- NPI 1629279864
-
- Ophthalmology Physician
- Glendale, CA
- NPI 1023016375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454544000000",
"number": "1407214489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7320 WOODLAKE AVE",
"address_2": "SUITE 360",
"city": "WEST HILLS",
"state": "CA",
"postal_code": "913071468",
"telephone_number": "818-884-9378",
"fax_number": "818-884-9407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7320 WOODLAKE AVE",
"address_2": "SUITE 360",
"city": "WEST HILLS",
"state": "CA",
"postal_code": "913071468",
"telephone_number": "818-884-9378",
"fax_number": "818-884-9407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN CALIFORNIA RETINA SPECIALISTS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-04",
"last_updated": "2016-02-04",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-884-9378",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "CA",
"license": "A79690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.