Mercy Eye Care Medical Group Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A48969 Issued in CA

Legal business name

MERCY EYE CARE MEDICAL GROUP INC

Practice address

1700 E Cesar E Chavez Ave Ste 3400
Los Angeles, CA 90033-2469

Phone

(323) 526-7273

Fax

(323) 526-7235

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sandeep K Khanna, M.D.NPI 1366514044

Title

President

Phone

(323) 526-7273

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mercy Eye Care Medical Group Inc

  • Ophthalmology Physician
  • Montebello, CA
  • NPI 1154495307

  O20070605000712

  Same enrollment
• Mercy Eye Care Medical Group Inc

  • Ophthalmology Physician
  • Whittier, CA
  • NPI 1982926531

  O20070605000712

  Same enrollment

Tax ID family

Mercy Eye Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Mercy Eye Care Medical Group Inc

  • Ophthalmology Physician
  • Montebello, CA
  • NPI 1154495307
  NPD tax ID
• Mercy Eye Care Medical Group Inc

  • Ophthalmology Physician
  • Whittier, CA
  • NPI 1982926531
  NPD tax ID

Locations

Interoperability endpoints

• Direct secure messaging: cflowers@mec.intellechartdirect.net
• Direct secure messaging: khoang@mec.intellechartdirect.net

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sandeep K Khanna, M.D.

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1366514044
  NPD Authorized official
• Henry Duong

  • Optometrist
  • Arcadia, CA
  • NPI 1831508977
  NPD
• Charles Wesley Flowers Jr., M.D.

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1619991908
  NPD
• Kathy Trinh Hoang, O.D.

  • Optometrist
  • Mission Viejo, CA
  • NPI 1346904935
  NPD
• Miguel Angel Unzueta, M.D.

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1023040714
  NPD
• Charlotte Rosenblum, O.D.

  • Optometrist
  • North Las Vegas, NV
  • NPI 1629523899
  NPD
• Bruce Friedman, LCSW

  • Clinical Social Worker
  • Carmel, NY
  • NPI 1275648800
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306800000000",
    "number": "1609948371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E CESAR E CHAVEZ AVE STE 3400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332469",
            "telephone_number": "323-526-7273",
            "fax_number": "323-526-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E CESAR E CHAVEZ AVE STE 3400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332469",
            "telephone_number": "323-526-7273",
            "fax_number": "323-526-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY EYE CARE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2011-05-31",
        "status": "A",
        "authorized_official_last_name": "KHANNA",
        "authorized_official_first_name": "SANDEEP",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-526-7273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A48969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A489690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vrunda Merchant, LCSW
• Erika Alex Mercier
• Lindsay Mercier, DPTLA
• Michelle Mercier
• Anna Mercurio, RNP
• Meredith a. Barber, O.D., Inc. (Beverly Plaza Optometry)
• Meredith E Levine DDS, Inc
• Meredith Hines Redding LMFT
• Meredith Vender, Licensed Clinical Social Worker, PC
• David Meredith

• Ophthalmology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.