Individual provider Active NPI

Laura Syniuta, M.D.

  • Ophthalmology Physician
  • Long Beach, CA
National Provider Identifier
1730275660
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A65729 Issued in CA
Practice address
2865 Atlantic Ave
Suite 109
Long Beach, CA 90806-1740
Phone
(562) 988-2020
Fax
(562) 490-2826
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 A65729 CA Primary

Addresses

Primary practice location

2865 Atlantic Ave
Suite 109
Long Beach, CA 90806-1740

Mailing address

2865 Atlantic Ave
Suite 109
Long Beach, CA 90806-1740
Phone (562) 988-2020

Other identifiers 3

IdentifierTypeStateIssuer
00A65729MedicaidCA
A65729OtherCASTATE MEDICAL LICENSE
GR0082390OtherCAMEDI-CAL GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050616000605 CA Practitioner - Ophthalmology 9537103940 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Albany Medical College of Union University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Markman and Wolstan a Medical GroupGroup PAC ID 2365722345, 6 clinicians

Practice addresses (Care Compare)

1807 Wilshire Blvd
Suite 203
Santa Monica, CA 90403-5790
Phone (310) 829-0160

3838 W Carson St
Suite 105
Torrance, CA 90503-6703
Phone (310) 543-4546

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

Merit-based Incentive Payment System (MIPS)

Final score
86.31 of 100Reported as group
Quality
78.96
Promoting interoperability
100
Improvement activities
40
Cost
71.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A65729CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jules Stein Eye Institute Medical Group Ophthalmology CurrentSince Jun 1, 2015 Accepting new patients
Markman & Wolstan, a Medical Group Ophthalmology CurrentSince Nov 22, 2016 Accepting new patients
Jules Stein Eye Institute Medical Group CurrentSince Jun 1, 2015 Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Torrance Memorial Medical Center Ophthalmology Past Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Healthcare Partners Affiliates Medical Group Ophthalmology Past Accepting new patients
Barry J Wolstan M D Inc. Ophthalmology Past Accepting new patients
Socal Family Eye Care, Inc. Ophthalmology PastSince Feb 11, 2016 Accepting new patients
Regents University of California Past Accepting new patients
Regents Univ of Calif Los Angeles 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

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

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

1807 Wilshire Blvd
Ste 203
Santa Monica, CA 90403
Phone (310) 564-6507

3838 W Carson St
Ste 105
Torrance, CA 90503
Phone (310) 543-4546

23600 Telo Ave
Ste 100
Torrance, CA 90505
Phone (310) 543-2611

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: lsyniuta48518@direct.uclahealth.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1730275660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 ATLANTIC AVE",
            "address_2": "SUITE 109",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061740",
            "telephone_number": "562-988-2020",
            "fax_number": "562-490-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 ATLANTIC AVE",
            "address_2": "SUITE 109",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061740",
            "telephone_number": "562-988-2020",
            "fax_number": "562-490-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYNIUTA",
        "first_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A65729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A65729",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "A65729",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL GROUP NUMBER",
            "identifier": "GR0082390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.