Individual provider Active NPI

Jessica Lely Cao

  • Retina Specialist (Ophthalmology) Physician
  • Encino, CA
National Provider Identifier
1417301227
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
A177288 Issued in CA
Practice address
16500 Ventura Blvd Ste 250
Encino, CA 91436-2018
Phone
(818) 788-9333
NPI assigned
Apr 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 57.029111 OH
Retina Specialist (Ophthalmology) Physician 207WX0107X A177288 CA Primary

Addresses

Primary practice location

16500 Ventura Blvd Ste 250
Encino, CA 91436-2018

Mailing address

16500 Ventura Blvd Ste 250
Encino, CA 91436-2018
Phone (818) 788-9333

Other practice location 1

9500 Euclid Ave # I13
Cleveland, OH 44195-0001
Phone (484) 476-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200513002600 OH Practitioner - Ophthalmology 3971890104 Reassigns benefits to 1 organization
I20220811003647 CA Practitioner - OphthalmologyPractitioner - Other (Physician) 3971890104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Retina PartnersGroup PAC ID 3274795869, 6 clinicians

Practice addresses (Care Compare)

16500 Ventura Blvd
Suite 250
Encino, CA 91436-2018
Phone (818) 788-9333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as group
Quality
94.1
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A177288CAMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System CurrentSince Jul 1, 2020 Accepting new patients
The Retina Partners Ophthalmology CurrentSince Sep 1, 2022 Accepting new patients
The Metrohealth System CurrentSince Jul 1, 2020 Accepting new patients
Valley Retina Associates Medical Group, P.C. Ophthalmology PastSince Sep 1, 2022 Accepting new patients
Providence Saint John'S Health Center Past Accepting new patients
West Hills Hospital Past Accepting new patients

Locations

3831 Hughes Ave
Ste 503
Culver City, CA 90232
Phone (818) 788-9333

16500 Ventura Blvd
Ste 250
Encino, CA 91436
Phone (818) 788-9333

100 E Thousand Oaks Blvd
Ste 112
Thousand Oaks, CA 91360
Phone (805) 409-0909

23929 McBean Pkwy
Ste 208
Valencia, CA 91355
Phone (661) 705-1075

4229 Pearl Rd
Cleveland, OH 44109
Phone (216) 459-6300

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

9500 Euclid Ave
#I13
Cleveland, OH 44195
Phone (216) 444-2020

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jcao@retinapart.intellechartdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1417301227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16500 VENTURA BLVD STE 250",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362018",
            "telephone_number": "818-788-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16500 VENTURA BLVD STE 250",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362018",
            "telephone_number": "818-788-9333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Euclid Ave # I13",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441950001",
            "country_code": "US",
            "telephone_number": "484-476-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAO",
        "first_name": "JESSICA",
        "middle_name": "LELY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "57.029111",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "A177288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.