Inland Valley Retina Medical Associates, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

INLAND VALLEY RETINA MEDICAL ASSOCIATES, INC

Practice address

41900 Winchester Rd
Suite 201
Temecula, CA 92590-3403

Phone

(951) 679-0400

Fax

(951) 672-6667

NPI assigned

Sep 20, 2006

Last updated

Oct 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Paul A Blacharski, M.D.NPI 1215034335

Title

MD/Owner

Phone

(951) 679-0400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: jgomez@invrma.intellechartdirect.net
• Direct secure messaging: pblacharski@invrma.intellechartdirect.net
• Direct secure messaging: tlin@invrma.intellechartdirect.net

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Corona Surgery Center, LLC

  • Ophthalmology Physician
  • Corona, CA
  • NPI 1205077724
  NPPES parent name

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul A Blacharski, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Menifee, CA
  • NPI 1215034335
  Medicare reassignment Care Compare group Authorized official
• Jessica Gomez, M.D.

  • Ophthalmology Physician
  • Temecula, CA
  • NPI 1790041804
  Medicare reassignment Care Compare group NPD
• Theodore K Lin, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Menifee, CA
  • NPI 1528121126
  Medicare reassignment Care Compare group
• Robert James Ingram, DC

  • Chiropractor
  • Temecula, CA
  • NPI 1447325402
  NPD (past)
• Christine W Ku, M.D.

  • Specialist
  • Santa Rosa, CA
  • NPI 1144327248
  NPD (past)
• Adhikari Varaprasad Reddy, MD

  • Neurological Surgery Physician
  • Redwood City, CA
  • NPI 1154478030
  NPD (past)
• Nathan Jerome Rudometkin, MD

  • Retina Specialist (Ophthalmology) Physician
  • Laguna Woods, CA
  • NPI 1225128994
  NPD (past)
• Meenakshisundaram Subramanian, DO

  • Ophthalmology Physician
  • Temecula, CA
  • NPI 1154613099
  NPD (past)
• Richard G Bryan, MD

  • Ophthalmology Physician
  • Providence, RI
  • NPI 1366428120
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1659478600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41900 WINCHESTER RD",
            "address_2": "SUITE 201",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903403",
            "telephone_number": "951-679-0400",
            "fax_number": "951-672-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41900 WINCHESTER RD",
            "address_2": "SUITE 201",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903403",
            "telephone_number": "951-679-0400",
            "fax_number": "951-672-6667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29798 Haun Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Menifee",
            "state": "CA",
            "postal_code": "925866541",
            "country_code": "US",
            "telephone_number": "951-679-0400",
            "fax_number": "951-672-6667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1810 Fullerton Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928813110",
            "country_code": "US",
            "telephone_number": "951-679-0400",
            "fax_number": "951-672-6667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INLAND VALLEY RETINA MEDICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "BLACHARSKI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "951-679-0400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0090220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Temecula, CA
• Providers in Temecula, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.