Individual provider Active NPI

Pradeep Satya Prasad, M.D.

  • Ophthalmology Physician
  • Los Angeles, CA
National Provider Identifier
1639348204
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A99979 Issued in CA
Practice address
200 Stein Plaza
Los Angeles, CA 90095-0001
Phone
(310) 825-0571
Fax
(310) 206-9967
NPI assigned
Feb 27, 2008
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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 A99979 CA Primary

Addresses

Primary practice location

200 Stein Plaza
Los Angeles, CA 90095-0001

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other identifiers 1

IdentifierTypeStateIssuer
00A999790MedicaidCA

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
I20090604000237 CA Practitioner - Ophthalmology 2062562507 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, Geffen School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Vision Consultants 360Group PAC ID 1355842063, 3 clinicians
Coachella Valley Eye Institute PCGroup PAC ID 2264914159, 5 clinicians

Practice addresses (Care Compare)

360 N Bedford Dr
FL 3
Beverly Hills, CA 90210-5124
Phone (310) 269-8565

72780 Country Club Dr
Suite 104
Rancho Mirage, CA 92270-4150
Phone (510) 647-6567

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.31 of 100Reported as group
Quality
78.96
Promoting interoperability
100
Improvement activities
40
Cost
71.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A99979CAMDOphthalmology Physician
99979CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peter Ho Win MD Inc Ophthalmology CurrentSince Aug 1, 2011 Accepting new patients
Retina Vision Consultants 360 Ophthalmology CurrentSince Aug 1, 2025 Accepting new patients
Coachella Valley Eye Institute PC Ophthalmology CurrentSince Feb 1, 2026 Accepting new patients
Cha Medical and Surgical Group, PC Ophthalmology PastSince Nov 18, 2018 Accepting new patients

Locations

234 S 1st Ave
#101
Arcadia, CA 91006

360 N Bedford Dr
Fl 3
Beverly Hills, CA 90210
Phone (310) 269-8565

360 N Bedford Dr
Ste 100
Beverly Hills, CA 90210
Phone (310) 269-8565

9001 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 275-1646

18575 Gale Ave
Ste 218
City of Industry, CA 91748
Phone (626) 581-1200

2080 Century Park E
Ste 911
Los Angeles, CA 90067
Phone (310) 229-1220

72780 Country Club Dr
Ste 104
Rancho Mirage, CA 92270
Phone (510) 647-6567

2020 Santa Monica Blvd
#360
Santa Monica, CA 90404

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

2121 Santa Monica Blvd
#360
Santa Monica, CA 90404

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/imedicware_chamg
  • FHIR API: https://fhir-myrecord.cerner.com/r4/ZovcCzFH9WoaIYAtfnADtCEJJqhJ7vbO/

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1639348204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 STEIN PLAZA",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001",
            "telephone_number": "310-825-0571",
            "fax_number": "310-206-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASAD",
        "first_name": "PRADEEP",
        "middle_name": "SATYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A99979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A999790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.