Alvarado Eye Associates Med Clinic Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ALVARADO EYE ASSOCIATES MED CLINIC INC

Practice address

7877 Parkway Dr.
Suite# 100
La Mesa, CA 91942-2000

Phone

(619) 460-3711

Fax

(619) 460-2184

NPI assigned

Jun 24, 2005

Last updated

Aug 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Glen Cook, MD

Title

Owner

Phone

(619) 460-3711

Specialties & licenses 3

Addresses

Other names 1

• Alvarado Eye Associates Medical Clinic Inc Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 9

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.

• Kimberly P. Cockerham, MD

  • Neuro-ophthalmology Physician
  • San Diego, CA
  • NPI 1366493629
  Medicare reassignment Care Compare group NPD
• Iga N Gray, MD, PHD

  • Ophthalmology Physician
  • Vista, CA
  • NPI 1033538350
  Medicare reassignment Care Compare group NPD
• Lee Richard Katzman, M.D.

  • Ophthalmology Physician
  • La Mesa, CA
  • NPI 1912297284
  Medicare reassignment Care Compare group NPD
• Joseph Daniel Mannen, O.D.

  • Optometrist
  • San Diego, CA
  • NPI 1851827034
  Medicare reassignment Care Compare group NPD
• Jocelyn Ou, OD

  • Optometrist
  • San Diego, CA
  • NPI 1225518996
  Medicare reassignment Care Compare group NPD
• Alla Fridman Young, OD

  • Optometrist
  • El Cajon, CA
  • NPI 1285085142
  Medicare reassignment Care Compare group NPD
• Angelique Jessica Pillar Topaloglu, M.D.

  • Ophthalmology Physician
  • San Diego, CA
  • NPI 1215236401
  Medicare reassignment Care Compare group
• Randall Earl Conrad, O.D.

  • Corneal and Contact Management Optometrist
  • Poway, CA
  • NPI 1962617464
  Medicare reassignment NPD
• Glenn Cook, MD

  • Ophthalmology Physician
  • La Mesa, CA
  • NPI 1013078427
  Medicare reassignment NPD

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1619973591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 ENTERPRISE STE 200",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926562626",
            "telephone_number": "949-688-6205",
            "fax_number": "619-460-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7877 PARKWAY DR.",
            "address_2": "SUITE# 100",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919422000",
            "telephone_number": "619-460-3711",
            "fax_number": "619-460-2184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Orange Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Coronado",
            "state": "CA",
            "postal_code": "921182663",
            "country_code": "US",
            "telephone_number": "619-460-3711",
            "fax_number": "619-522-7983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALVARADO EYE ASSOCIATES MED CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-24",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-460-3711",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alvarado Eye Associates Medical Clinic Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ronda Alpatty
• Lindsey Stroben Alper, PHD
• Steven Alper, LCSW
• Huda Y Alsheikh, MD
• Kikelomo Aluko, MSN, APRN, PMHNP BC
• Alvarado-la Mesa Urology Medical Group Inc
• Christine Alvarenga, LPCC
• Alwahab MD Inc (Health Ave Pediatrics)
• Always There Mobile Physicians, Inc.
• Jayne Alzua

• Multi-Specialty Clinic/Center in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.