Organization Active NPI

Retina Orange County, Inc.

  • Retina Specialist (Ophthalmology) Physician
  • Irvine, CA
National Provider Identifier
1659627602
Registry record updated Aug 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
Legal business name
RETINA ORANGE COUNTY, INC.
Practice address
16100 Sand Canyon Ave Ste 385
Irvine, CA 92618-3720
Phone
(949) 732-0201
Fax
(888) 421-7757
NPI assigned
Jul 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2022

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

Authorized official

Name
Dr. Nadeem Nurmohamed Vaidya, MDNPI 1578616520
Title
Vitreoretinal Surgeon
Phone
(949) 732-0201

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X
Retina Specialist (Ophthalmology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207WX0107X Primary

Addresses

Primary practice location

16100 Sand Canyon Ave Ste 385
Irvine, CA 92618-3720

Mailing address

16100 Sand Canyon Ave Ste 385
Irvine, CA 92618-3720
Phone (949) 732-0201

Other names 1

  • RetinaOC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nadeemvaidya@retinaorangecounty.drchronodirect.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121008000026 CA Part B Supplier - Clinic/Group Practice 7618126673 Receives reassigned benefits from 1 practitioner
Practice locations: Irvine, CA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: nadeemvaidya@retinaorangecounty.drchronodirect.com

Practitioners & affiliated clinicians

Practitioners 1

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": "1343347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659744000000",
    "number": "1659627602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16100 SAND CANYON AVE STE 385",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183720",
            "telephone_number": "949-732-0201",
            "fax_number": "888-421-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 SAND CANYON AVE STE 385",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183720",
            "telephone_number": "949-732-0201",
            "fax_number": "888-421-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA ORANGE COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-27",
        "last_updated": "2022-08-06",
        "certification_date": "2022-08-06",
        "status": "A",
        "authorized_official_last_name": "VAIDYA",
        "authorized_official_first_name": "NADEEM",
        "authorized_official_middle_name": "NURMOHAMED",
        "authorized_official_title_or_position": "VITREORETINAL SURGEON",
        "authorized_official_telephone_number": "949-732-0201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nadeemvaidya@retinaorangecounty.drchronodirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16100 Sand Canyon Ave Ste 385",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926183720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "RetinaOC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

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