Organization Active NPI

James McCaffery MD a Professional Corp

Doing business as Glendale Eye Medical Group

  • Ophthalmology Physician
  • Glendale, CA
National Provider Identifier
1710962865
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
JAMES MCCAFFERY MD A PROFESSIONAL CORP
Doing business as
Glendale Eye Medical Group
Practice address
500 N Central Ave Ste 400
Glendale, CA 91203-1928
Phone
(818) 956-1010
Fax
(818) 543-6083
NPI assigned
Dec 13, 2005
Last updated
Oct 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Authorized official

Name
Jacqueline Cruz
Title
Practice Administrator
Phone
(818) 956-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X CA Primary

Addresses

Primary practice location

500 N Central Ave Ste 400
Glendale, CA 91203-1928

Mailing address

500 N Central Ave Ste 400
Glendale, CA 91203-1928
Phone (818) 956-1010

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ75843ZMedicaidCA

Other names 1

  • Glendale Eye Medical Group Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1710962865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N CENTRAL AVE STE 400",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031928",
            "telephone_number": "818-956-1010",
            "fax_number": "818-543-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N CENTRAL AVE STE 400",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031928",
            "telephone_number": "818-956-1010",
            "fax_number": "818-543-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES MCCAFFERY MD A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "818-956-1010"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ75843Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glendale Eye Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Glendale Eye Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.