California Eye Medical Center Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G64460 Issued in CA

Legal business name

CALIFORNIA EYE MEDICAL CENTER INC

Practice address

1125 S Beverly Dr
Suite 710
Los Angeles, CA 90035-1148

Phone

(310) 275-6179

Fax

(310) 278-7592

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert David Sacks, M.D.NPI 1568518637

Title

Owner

Phone

(310) 275-6179

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert David Sacks, M.D.

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1568518637
  Medicare reassignment Care Compare group NPD Authorized official
• Brenda Nuyen

  • Ophthalmology Physician
  • Santa Monica, CA
  • NPI 1023351582
  Medicare reassignment Care Compare group NPD
• Jonathan Mak, OD

  • Optometrist
  • Ventura, CA
  • NPI 1891219846

  Single Specialty

  Medicare reassignment NPD
• Svetlana Pilyugina, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Santa Monica, CA
  • NPI 1538294129
  Medicare reassignment NPD

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1457570871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 S BEVERLY DR",
            "address_2": "SUITE 710",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351148",
            "telephone_number": "310-275-6179",
            "fax_number": "310-278-7592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 S BEVERLY DR",
            "address_2": "SUITE 710",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351148",
            "telephone_number": "310-275-6179",
            "fax_number": "310-278-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA EYE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "SACKS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-275-6179",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G64460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0077060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• California Eye Center
• California Familiy Institute Melrose
• California Fertility Clinic Inc
• California Fertility Clinics, LLC
• California Fertility Partners
• California Fertility Partners

• Ophthalmology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.

Verify at the official NPI Registry.