Individual provider Active NPI

Amy Patel Jain, MD

  • Ophthalmology Physician
  • Los Angeles, CA
National Provider Identifier
1558624874
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A130694 Issued in CA
Practice address
Cedars Sinai Medical Center
8700 Beverly Blvd
Los Angeles, CA 90048
Phone
(310) 423-3277
NPI assigned
Jun 21, 2012
Last updated
May 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A130694 CA Primary

Addresses

Primary practice location

Cedars Sinai Medical Center
8700 Beverly Blvd
Los Angeles, CA 90048

Mailing address

7508 Meany Ave
Bakersfield, CA 93308-5178
Phone (661) 589-9400

Other practice location 1

7508 Meany Ave
Bakersfield, CA 93308-5178
Phone (661) 589-9400

Other practice location 2

3401 S Harbor Blvd
Santa Ana, CA 92704-7933
Phone (877) 608-0044

Other names 1

  • Amy D Patel Former name

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
I20160916002327 CA Practitioner - Ophthalmology 3678889623 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, Irvine, California College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Eye Medical Group a Professional CorporationGroup PAC ID 1052357803, shared by 2 NPIs, 6 clinicians
Thrive Health IV Clinic PCGroup PAC ID 0941668057, 9 clinicians

Practice addresses (Care Compare)

26701 Crown Valley Pkwy
Mission Viejo, CA 92691-6356
Phone (714) 582-1090

366 San Miguel Dr
Suite 206
Newport Beach, CA 92660-7810
Phone (949) 423-9734

9675 Brighton Way
Suite 410
Beverly Hills, CA 90210-5192
Phone (310) 363-8757

Merit-based Incentive Payment System (MIPS)

Final score
91.49 of 100Reported as group
Quality
95.7
Improvement activities
40
Cost
77.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A130694CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eye Medical Group a Professional Corporation Ophthalmology CurrentSince Jul 26, 2024 Accepting new patients
Thrive Health IV Clinic, P.C. CurrentSince Jul 22, 2024 Accepting new patients
Amy Patel Jain MD a Professional Corporation Ophthalmology CurrentSince Feb 25, 2024 Accepting new patients
Regents of the University of California Ophthalmology CurrentSince Dec 1, 2016 Accepting new patients
Thrive Health IV Clinic PC CurrentSince Jul 22, 2024 Accepting new patients
Advanced Eye Medical Group a Professional Corporation CurrentSince Jun 15, 2024 Accepting new patients
Regents of the University of California Ophthalmology CurrentSince Dec 1, 2016 Accepting new patients

Locations

9675 Brighton Way
Ste 410
Beverly Hills, CA 90210
Phone (310) 274-2525

26701 Crown Valley Pkwy
Mission Viejo, CA 92691
Phone (949) 582-1010

366 San Miguel Dr
Ste 206
Newport Beach, CA 92660
Phone (310) 636-8757

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

Interoperability endpoints

  • Direct secure messaging: ajain@advancedeyemedical.direct.eyemdemr.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1558624874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7508 MEANY AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933085178",
            "telephone_number": "661-589-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CEDARS SINAI MEDICAL CENTER",
            "address_2": "8700 BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90048",
            "telephone_number": "310-423-3277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7508 Meany Ave",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933085178",
            "country_code": "US",
            "telephone_number": "661-589-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3401 S Harbor Blvd",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927047933",
            "country_code": "US",
            "telephone_number": "877-608-0044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIN",
        "first_name": "AMY",
        "middle_name": "PATEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A130694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "PATEL",
            "middle_name": "D",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.