Organization Active NPI

Lecc General Ophthalmology Management

  • Ophthalmology Physician
  • Laguna Hills, CA
National Provider Identifier
1508130741
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A72632 Issued in CA
Legal business name
LECC GENERAL OPHTHALMOLOGY MANAGEMENT
Practice address
24022 Calle de la Plata
Suite 300
Laguna Hills, CA 92653-3629
Phone
(949) 951-1457
Fax
(949) 768-8902
NPI assigned
Mar 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Jonathan R Pirnazar MD, M.D.
Title
Director
Phone
(949) 951-1457

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X A72632 CA Primary

Addresses

Primary practice location

24022 Calle de la Plata
Suite 300
Laguna Hills, CA 92653-3629

Mailing address

3501 Jamboree Rd
Suite 200a
Newport Beach, CA 92660-2939
Phone (949) 854-7400

National Provider Directory

National Provider Directory

Locations

3501 Jamboree Rd
Ste 200A
Newport Beach, CA 92660

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1508130741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 JAMBOREE RD",
            "address_2": "SUITE 200A",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602939",
            "telephone_number": "949-854-7400",
            "fax_number": "949-768-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24022 CALLE DE LA PLATA",
            "address_2": "SUITE 300",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533629",
            "telephone_number": "949-951-1457",
            "fax_number": "949-768-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LECC GENERAL OPHTHALMOLOGY MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "PIRNAZAR MD",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "949-951-1457",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A72632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.