Individual provider Active NPI

Christina Elise Douglas, MD

  • Ophthalmology Physician
  • Los Angeles, CA
National Provider Identifier
1699263913
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A179840 Issued in CA
Practice address
200 Stein Plaza
Los Angeles, CA 90024
Phone
(310) 267-3937
Fax
(310) 206-3690
NPI assigned
Apr 23, 2018
Last updated
Oct 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 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 A179840 CA Primary

Addresses

Primary practice location

200 Stein Plaza
Los Angeles, CA 90024

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220810001446 CA Practitioner - Ophthalmology 8820471758 Reassigns benefits to 4 organizations
I20230725003021 TN Practitioner - Ophthalmology 8820471758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

622 W Duarte Rd
Suite 101
Arcadia, CA 91007-7606
Phone (323) 442-7122

Merit-based Incentive Payment System (MIPS)

Final score
76.4 of 100Reported as group
Quality
76.44
Promoting interoperability
67
Improvement activities
40
Cost
72.4

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A179840CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Eye Specialists PLLC Ophthalmology CurrentSince Aug 1, 2023 Accepting new patients
Southern California Permanente Medical Group CurrentSince Dec 28, 2022 Accepting new patients
Southern California Permanente Medical Group CurrentSince Dec 28, 2022 Accepting new patients
Jules Stein Eye Institute Medical Group Ophthalmology CurrentSince Oct 1, 2025 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Sep 1, 2022 Accepting new patients
Southeast Eye Specialists PLLC Ophthalmology CurrentSince Aug 1, 2023 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Jules Stein Eye Institute Medical Group CurrentSince Oct 1, 2025 Accepting new patients
Southeastern Retina Associates, P.C. Ophthalmology Past Accepting new patients
Complete Eye Care, PC Ophthalmology Past Accepting new patients
Southeast Eye Specialists, PLLC Ophthalmology Past Accepting new patients

Locations

622 W Duarte Rd
Ste 101
Arcadia, CA 91007
Phone (310) 206-1166

18111 Brookhurst St
Ste 6400
Fountain Vly, CA 92708
Phone (714) 350-7258

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

200 Stein Plz
Los Angeles, CA 90095
Phone (310) 206-7202

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

2855 Old Highway 5
Blue Ridge, GA 30513
Phone (706) 632-4263

707 Old Dalton Ellijay Rd
Chatsworth, GA 30705
Phone (706) 517-2050

135 N Meadows Dr
#A
Athens, TN 37303
Phone (423) 453-5314

135 N Meadows Dr
Ste D
Athens, TN 37303
Phone 4235087337205

7268 Jarnigan Rd
Ste 200
Chattanooga, TN 37421
Phone 4235087337289

7305 Jarnigan Rd
Ste 220
Chattanooga, TN 37421

4160 Ocoee St N
Ste 7
Cleveland, TN 37312
Phone 42350837737

195 White Oak Rd
Ste 300
Dayton, TN 37321
Phone (423) 332-8222

341 Cool Springs Blvd
Ste 400
Franklin, TN 37067

1400 Dowell Springs Blvd
Ste 310
Knoxville, TN 37909
Phone (865) 966-7337

286 Cherokee Professional Park
Maryville, TN 37804
Phone (865) 981-4002

2815 W Andrew Johnson Hwy
Ste 2815
Morristown, TN 37814

434 4th St
Ste 208
Newport, TN 37821
Phone (423) 823-3620

744 Middle Creek Rd
Ste 202
Sevierville, TN 37862
Phone (865) 329-4003

9453 Dayton Pike
Soddy Daisy, TN 37379
Phone (423) 332-8222

Interoperability endpoints

  • Direct secure messaging: cdouglas@southeasteye.intellechartdirect.net

Organizations & group practices 12

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": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1699263913",
    "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": "90024",
            "telephone_number": "310-267-3937",
            "fax_number": "310-206-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "CHRISTINA",
        "middle_name": "ELISE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A179840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.