Individual provider Active NPI

Thomas Adriano McInnes Lazzarini, MD

  • Retina Specialist (Ophthalmology) Physician
  • San Diego, CA
National Provider Identifier
1477088979
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
A191729 Issued in CA
Practice address
3965 Fifth Ave Ste 330
San Diego, CA 92103-3107
Phone
(858) 451-1911
Fax
(858) 451-0566
NPI assigned
Apr 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A191729 CA
Ophthalmology Physician 207W00000X ME150161 FL
Retina Specialist (Ophthalmology) Physician 207WX0107X A191729 CA Primary

Addresses

Primary practice location

3965 Fifth Ave Ste 330
San Diego, CA 92103-3107

Mailing address

12630 Monte Vista Rd Ste 104
Poway, CA 92064-2526
Phone (858) 451-1911

Other practice location 1

9850 Genesee Ave Ste 700
LA Jolla, CA 92037-1218
Phone (858) 451-1911

Other practice location 2

12630 Monte Vista Rd Ste 104
Poway, CA 92064-2526
Phone (858) 451-1911

Other practice location 3

3144 El Camino Real Ste 100
Carlsbad, CA 92008-2194
Phone (858) 451-1911

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
I20231114003331 CA Practitioner - Ophthalmology 5294139358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Yale University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Consultants San Diego IncGroup PAC ID 3577538214, 5 clinicians

Practice addresses (Care Compare)

3965 5TH Ave
Suite 330
San Diego, CA 92103-3107
Phone (858) 451-1911

Hospital & facility affiliations

  • Scripps Memorial Hospital la Jolla Hospital, La Jolla, CA, CCN 050324

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
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
A191729CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Consultants San Diego Inc Ophthalmology CurrentSince Apr 1, 2025 Accepting new patients
Retina Consultants San Diego Inc Ophthalmology CurrentSince Apr 1, 2025 Accepting new patients

Locations

3144 El Camino Real
Ste 100
Carlsbad, CA 92008
Phone (760) 730-3536

9850 Genesee Ave
Ste 700
La Jolla, CA 92037
Phone (858) 451-1911

12630 Monte Vista Rd
Ste 104
Poway, CA 92064
Phone (858) 451-1911

3965 5th Ave
Ste 330
San Diego, CA 92103
Phone (858) 451-1911

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: tlazzarini@rcsd.intellechartdirect.net
  • Direct secure messaging: tlazzarini61549@direct.med.miami.edu
  • Direct secure messaging: thomas.lazzarini.p1@direct.ivretina.nextgenshare.com

Organizations & group practices 2

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": "1492819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1477088979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12630 MONTE VISTA RD STE 104",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642526",
            "telephone_number": "858-451-1911",
            "fax_number": "858-451-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3965 FIFTH AVE STE 330",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033107",
            "telephone_number": "858-451-1911",
            "fax_number": "858-451-0566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9850 Genesee Ave Ste 700",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920371218",
            "country_code": "US",
            "telephone_number": "858-451-1911",
            "fax_number": "858-451-0566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12630 Monte Vista Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Poway",
            "state": "CA",
            "postal_code": "920642526",
            "country_code": "US",
            "telephone_number": "858-451-1911",
            "fax_number": "858-451-0566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3144 El Camino Real Ste 100",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920082194",
            "country_code": "US",
            "telephone_number": "858-451-1911",
            "fax_number": "858-451-0566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAZZARINI",
        "first_name": "THOMAS",
        "middle_name": "ADRIANO MCINNES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-22",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A191729",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME150161",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "A191729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.