Ira Vidor, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A108065 Issued in CA

Practice address

1900 E Washington St
Colton, CA 92324-4614

Phone

(909) 825-3425

Fax

(909) 825-6991

NPI assigned

Mar 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Ophthalmology

Education

Chicago College of Medicine and Surgery, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

David L Wirta MD IncGroup PAC ID 9931396421, 2 clinicians

Pacific Eye Institute a Medical Group IncGroup PAC ID 7911966122, 43 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

80.15 of 100Reported as group

Quality

76.08

Promoting interoperability

72

Improvement activities

40

Cost

75.13

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• David Wirta M D Inc

  • Specialist
  • Newport Beach, CA
  • NPI 1619284494
  Medicare reassignment Care Compare group NPD
• Ira Vidor, M.D., a Professional Corporation

  • Ophthalmology Physician
  • Newport Beach, CA
  • NPI 1740688654
  Medicare reassignment NPD Authorized official
• Pacific Eye Institute, a Medical Group, Inc.

  • Ophthalmology Physician
  • Upland, CA
  • NPI 1962422709
  Medicare reassignment Care Compare group NPD
• Loma Linda University Children'S Hospital

  • Children's Hospital
  • Loma Linda, CA
  • NPI 1366866345
  NPD (past)
• Loma Linda University Medical Center

  • General Acute Care Hospital
  • Loma Linda, CA
  • NPI 1194731935
  NPD (past)
• Parvin Shafa M D Inc

  • Internal Medicine Physician
  • Irvine, CA
  • NPI 1528181005
  NPD (past)
• Physicians' Hospital of Murrieta, LLC

  • General Acute Care Hospital
  • Murrieta, CA
  • NPI 1386945947
  NPD (past)
• San Gorgonio Memorial Hospital

  • General Acute Care Hospital
  • Banning, CA
  • NPI 1568469997
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1467582106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 SAN MIGUEL DR STE 300",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607810",
            "telephone_number": "949-999-8717",
            "fax_number": "949-315-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E WASHINGTON ST",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244614",
            "telephone_number": "909-825-3425",
            "fax_number": "909-825-6991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "366 San Miguel Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926607810",
            "country_code": "US",
            "telephone_number": "949-999-8717",
            "fax_number": "949-315-3449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 Superior Ave Ste 235",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926633642",
            "country_code": "US",
            "telephone_number": "949-650-1863",
            "fax_number": "949-650-4359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIDOR",
        "first_name": "IRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A108065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Michelle Vercio, M.D.
• Katrina Marie Verley
• Renee N Vernon, CNM
• Norma Veron
• Christina Victor
• Maira L Vielma
• View Behavioral Health LLC
• View Behavioral Health-Colton II LLC
• View Behavioral Health-Colton LLC
• Ari Vigborn, RN

• Ophthalmology Physician in Colton, CA
• Providers in Colton, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.