Organization Active NPI

Century Eye Care Medical Center, Inc.

  • Ophthalmology Physician
  • Hawthorne, CA
National Provider Identifier
1629274337
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G83156 Issued in CA
Legal business name
CENTURY EYE CARE MEDICAL CENTER, INC.
Practice address
4477 W 118TH St
Ste 101
Hawthorne, CA 90250-2255
Phone
(310) 644-8877
Fax
(310) 644-8870
NPI assigned
Jun 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Authorized official

Name
Cynthia Gascon
Title
Finance Executive Administrator
Phone
(310) 767-7814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G83156 CA Primary

Addresses

Primary practice location

4477 W 118TH St
Ste 101
Hawthorne, CA 90250-2255

Mailing address

1141 W Redondo Beach Blvd Ste 101
Gardena, CA 90247-3585
Phone (310) 767-7814

Other identifiers 1

IdentifierTypeStateIssuer
00G831561MedicaidCA

Other names 1

  • CENTURY EYE CARE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040524001227 CA Part B Supplier - Clinic/Group Practice 2264423524 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Hawthorne, CA; Gardena, CA

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767139200000",
    "number": "1629274337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 W REDONDO BEACH BLVD STE 101",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473585",
            "telephone_number": "310-767-7814",
            "fax_number": "310-323-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4477 W 118TH ST",
            "address_2": "STE 101",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502255",
            "telephone_number": "310-644-8877",
            "fax_number": "310-644-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURY EYE CARE MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A",
        "authorized_official_last_name": "GASCON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "FINANCE EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "310-767-7814"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G83156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G831561",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTURY EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hawthorne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; 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.