Individual provider Active NPI

Anthony J Culotta, MD

  • Retina Specialist (Ophthalmology) Physician
  • Pasadena, CA
National Provider Identifier
1497790018
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
A97142 Issued in CA
Practice address
800 Fairmount Ave
Suite 312
Pasadena, CA 91105-3150
Phone
(626) 568-8838
Fax
(626) 583-8838
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X A97142 CA Primary
Ophthalmology Physician 207W00000X 061228 GA
Ophthalmology Physician 207W00000X 025662 LA

Addresses

Primary practice location

800 Fairmount Ave
Suite 312
Pasadena, CA 91105-3150

Mailing address

100 E California Blvd
Suite 312
Pasadena, CA 91105-3205
Phone (626) 568-8838

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
I20090326000464 CA Practitioner - Ophthalmology 5991878332 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 E California Blvd
Pasadena, CA 91105-3205
Phone (800) 898-2020

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025662LAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall B. Ketchum University Current Accepting new patients
Retina Institute of California Medical Group, a California Medical Par Ophthalmology CurrentSince Sep 1, 2006 Accepting new patients
Trilogy Eye Medical Group Inc Ophthalmology CurrentSince Jan 1, 2015 Accepting new patients
Marshall B. Ketchum University CurrentSince Nov 21, 2013 Accepting new patients
Trilogy Eye Medical Group, Inc Ophthalmology Past Accepting new patients
Ahmc San Gabriel Valley Medical Ophthalmology Past Accepting new patients
Barry a. Katzman, M.D., Inc Apc Past Accepting new patients
Retina Institute of California Medical Group, a California Medical Par Ophthalmology Past Accepting new patients

Locations (25 of 49)

500 S Anaheim Hills Rd
Ste 234
Anaheim, CA 92807
Phone (714) 282-5437

5460 E La Palma Ave
Anaheim, CA 92807
Phone (714) 463-7500

500 S Anaheim Hills Rd
Ste 240
Anaheim, CA 92807
Phone (714) 637-1900

301 W Huntington Dr
Ste 107
Arcadia, CA 91007
Phone (626) 574-0020

9500 Stockdale Hwy
Ste 108
Bakersfield, CA 93311
Phone (661) 663-8500

17833 Colima Rd
City of Industry, CA 91748
Phone (626) 964-8864

1640 Newport Blvd
Ste 220
Costa Mesa, CA 92627
Phone (949) 650-4362

11525 Brookshire Ave
Ste 201A
Downey, CA 90241
Phone (562) 862-6200

11525 Brookshire Ave
Downey, CA 90241
Phone (562) 861-0954

320 Santa Fe Dr
Ste 104
Encinitas, CA 92024
Phone (760) 943-0501

5400 Balboa Blvd
Ste 222
Encino, CA 91316
Phone (818) 986-8454

11180 Warner Ave
Ste 163
Fountain Vly, CA 92708
Phone (714) 751-1188

1950 Sunny Crest Dr
Ste 3200
Fullerton, CA 92835
Phone (714) 278-1829

2240 N Harbor Blvd
Ste 210
Fullerton, CA 92835
Phone (714) 278-1834

12828 Harbor Blvd
Ste 305
Garden Grove, CA 92840
Phone (714) 534-8100

8736 Garden Grove Blvd
Garden Grove, CA 92844
Phone (714) 501-0285

12828 Harbor Blvd
Ste 205
Garden Grove, CA 92840

17138 Colima Rd
Ste B
Hacienda Heights, CA 91745
Phone (626) 810-3037

18582 Main St
Huntington Beach, CA 92648
Phone (714) 843-5700

17742 Beach Blvd
Ste 350
Huntington Beach, CA 92647
Phone (714) 842-5561

9850 Genesee Ave
Ste 210
La Jolla, CA 92037
Phone (858) 535-1075

9850 Genesee Ave
Ste 310
La Jolla, CA 92037
Phone (619) 457-3010

5451 La Palma Ave
Ste 44
La Palma, CA 90623
Phone (714) 521-2290

1911 Foothill Blvd
Ste A
La Verne, CA 91750
Phone (626) 596-5900

44815 Fig Ave
Lancaster, CA 93534
Phone (661) 206-8469

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1497790018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CALIFORNIA BLVD",
            "address_2": "SUITE 312",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053205",
            "telephone_number": "626-568-8838",
            "fax_number": "626-583-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 FAIRMOUNT AVE",
            "address_2": "SUITE 312",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053150",
            "telephone_number": "626-568-8838",
            "fax_number": "626-583-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULOTTA",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "A97142",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "061228",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "025662",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.