NPIMap

Organization Active NPI

East-West Eye Institute a Medical Corporation

  • Ophthalmology Physician
  • Los Angeles, CA
National Provider Identifier
1710057245
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G49917 Issued in CA
Legal business name
EAST-WEST EYE INSTITUTE A MEDICAL CORPORATION
Practice address
420 E 3Rd St
Suite 603
Los Angeles, CA 90013-1644
Phone
(213) 680-1551
Fax
(213) 680-2148
NPI assigned
Nov 9, 2006
Last updated
Aug 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Authorized official

Name
Rufina T Arguello
Title
Billling Supervisor
Phone
(213) 625-2694

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Ophthalmology Physician 207W00000X G49917 CA Primary
Ophthalmology Physician 207W00000X G50632 CA
Ophthalmology Physician 207W00000X A86442 CA

Addresses

Primary practice location

420 E 3Rd St
Suite 603
Los Angeles, CA 90013-1644

Mailing address

420 E 3Rd St
Suite 603
Los Angeles, CA 90013-1644
Phone (213) 680-1551

Other practice location 1

9100 Wilshire Blvd Ste 852W
Beverly Hills, CA 90212-3464
Phone (310) 273-3011

Other identifiers 1

IdentifierTypeStateIssuer
GR0078580MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040702001125 CA Part B Supplier - Clinic/Group Practice 0042297376 Receives reassigned benefits from 25 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Pedro, CA; Torrance, CA; Gardena, CA; Covina, CA

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1950 Sawtelle Blvd
Ste 240
Los Angeles, CA 90025
Phone (310) 453-0489

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

1218 N State Highway 123
San Marcos, TX 78666
Phone (512) 352-3303

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1710057245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 3RD ST",
            "address_2": "SUITE 603",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131644",
            "telephone_number": "213-680-1551",
            "fax_number": "213-680-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E 3RD ST",
            "address_2": "SUITE 603",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131644",
            "telephone_number": "213-680-1551",
            "fax_number": "213-680-2148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9100 Wilshire Blvd Ste 852W",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902123464",
            "country_code": "US",
            "telephone_number": "310-273-3011",
            "fax_number": "213-342-5396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EAST-WEST EYE INSTITUTE A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "ARGUELLO",
        "authorized_official_first_name": "RUFINA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "BILLLING SUPERVISOR",
        "authorized_official_telephone_number": "213-625-2694"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G49917",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G50632",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A86442",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0078580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.