Retina Consultants of Los Angeles, Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

RETINA CONSULTANTS OF LOS ANGELES, INC.

Practice address

1808 Verdugo Blvd
Suite 206
Glendale, CA 91208-1412

Phone

(818) 790-7611

Fax

(818) 952-5634

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Vinh Tan Tran, M.D., PH.D.NPI 1023016375

Title

President and Doctor

Phone

(818) 790-7611

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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)…

Interoperability endpoints

• Direct secure messaging: vtran@rcla.intellechartdirect.net

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vinh Tan Tran, MD, PHD

  • Ophthalmology Physician
  • Glendale, CA
  • NPI 1023016375
  Medicare reassignment NPD Authorized official
• Daniel D Esmaili, M.D.

  • Ophthalmology Physician
  • Beverly Hills, CA
  • NPI 1629279864
  Medicare reassignment NPD
• David Soo Hyun Kim, M.D.

  • Ophthalmology Physician
  • Glendale, CA
  • NPI 1952320574
  Medicare reassignment NPD

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1649298670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 VERDUGO BLVD",
            "address_2": "SUITE 206",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081412",
            "telephone_number": "818-790-7611",
            "fax_number": "818-952-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 VERDUGO BLVD",
            "address_2": "SUITE 206",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081412",
            "telephone_number": "818-790-7611",
            "fax_number": "818-952-5634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA CONSULTANTS OF LOS ANGELES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "VINH",
        "authorized_official_middle_name": "TAN",
        "authorized_official_title_or_position": "PRESIDENT AND DOCTOR",
        "authorized_official_telephone_number": "818-790-7611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Robin Restchack, DPT
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• Restorative Home Health
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• Francesca Resurreccion, PT, DPT
• Retina Institute of California Medical Group, a California Medical Par
• Revamp Physical Therapy, Inc
• Revive Hospice Care Group, Inc
• Diana Reyes Castro, NONE
• Triana Reyes-Saldana

• Ophthalmology Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.