NPIMap

Individual provider Active NPI

Albert De la Pena, M.D.

  • Ophthalmology Physician
  • Montebello, CA
National Provider Identifier
1649295114
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A26114 Issued in CA
Practice address
2446 W Whittier Blvd
Montebello, CA 90640-3041
Phone
(323) 728-5500
Fax
(323) 728-4408
NPI assigned
Jul 13, 2006
Last updated
Aug 16, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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 A26114 CA Primary

Addresses

Primary practice location

2446 W Whittier Blvd
Montebello, CA 90640-3041

Mailing address

2446 W Whittier Blvd
Montebello, CA 90640-3041
Phone (323) 728-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090331000542 CA Practitioner - Ophthalmology 0547169054 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26114CAMDDentist
A26114CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
De la Pena Eye Clinic, a Medical Group, Inc. Ophthalmology CurrentSince Apr 16, 2011 Accepting new patients
De la Pena Eye Clinic, a Medical Group, Inc Ophthalmology Current Accepting new patients
De la Pena Eye Clinic, a Medical Group, Inc Ophthalmology CurrentSince Apr 16, 2011 Accepting new patients
De la Pena Eye Clinic, a Medical Group, Inc. Ophthalmology Past Accepting new patients
De la Pena Eye Clinic, a Medical Group, Inc. Ophthalmology Past Accepting new patients
Ahmc Monterey Park Hospital LP Past Accepting new patients
A de la Pena M D a Medical Group Inc Ophthalmology Past Accepting new patients
A. de la Pena M D a Medical Group Inc Ophthalmology PastSince Jul 10, 1999 Accepting new patients

Locations

2715 E Florence Ave
Huntington Pk, CA 90255
Phone (323) 581-0120

139 S Alvarado St
Los Angeles, CA 90057
Phone (213) 484-0170

2446 W Whittier Blvd
Montebello, CA 90640
Phone (213) 728-5500

7100 Van Nuys Blvd
Ste 120
Van Nuys, CA 91405
Phone (818) 988-1111

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1649295114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2446 W WHITTIER BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403041",
            "telephone_number": "323-728-5500",
            "fax_number": "323-728-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2446 W WHITTIER BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403041",
            "telephone_number": "323-728-5500",
            "fax_number": "323-728-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA PENA",
        "first_name": "ALBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A26114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

Verify at the official NPI Registry.