Organization Active NPI

Monterey Bay Eye Associates Medical Group, a Medical Corporation

  • Ophthalmology Physician
  • Salinas, CA
National Provider Identifier
1629133178
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G46085 Issued in CA
Legal business name
MONTEREY BAY EYE ASSOCIATES MEDICAL GROUP, A MEDICAL CORPORATION
Practice address
1441 Constitution Blvd
BLDG 400 Ste 100
Salinas, CA 93906-3100
Phone
(831) 424-1150
Fax
(831) 424-1158
NPI assigned
Dec 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Authorized official

Name
Eric Del Piero, M.D.NPI 1790879369
Title
President
Phone
(831) 424-1150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G46085 CA Primary

Addresses

Primary practice location

1441 Constitution Blvd
BLDG 400 Ste 100
Salinas, CA 93906-3100

Mailing address

1441 Constitution Blvd
BLDG 400 Ste 100
Salinas, CA 93906-3100
Phone (831) 424-1150

Other identifiers 1

IdentifierTypeStateIssuer
GR0083340MedicaidCA

Other names 1

  • Monterey County Eye Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040224000311 CA Part B Supplier - Clinic/Group Practice 4385530708 Receives reassigned benefits from 9 practitioners
Practice locations: Salinas, CA

National Provider Directory

National Provider Directory

Locations

1441 Constitution Blvd
Ste 100
Salinas, CA 93906
Phone (831) 424-1150

Practitioners & affiliated clinicians

Practitioners 12

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": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1629133178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 CONSTITUTION BLVD",
            "address_2": "BLDG 400 STE 100",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063100",
            "telephone_number": "831-424-1150",
            "fax_number": "831-424-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 CONSTITUTION BLVD",
            "address_2": "BLDG 400 STE 100",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063100",
            "telephone_number": "831-424-1150",
            "fax_number": "831-424-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEREY BAY EYE ASSOCIATES MEDICAL GROUP, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "DEL PIERO",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-424-1150",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G46085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0083340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monterey County Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.