Individual provider Active NPI

Nikolas London, M.D.

  • Ophthalmology Physician
  • San Diego, CA
National Provider Identifier
1730418849
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A100888 Issued in CA
Practice address
12475 Camarero CT
San Diego, CA 92130-2278
Phone
(415) 341-5456
Fax
(858) 558-1941
NPI assigned
Dec 18, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2013

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 A100888 CA Primary

Addresses

Primary practice location

12475 Camarero CT
San Diego, CA 92130-2278

Mailing address

12475 Camarero CT
San Diego, CA 92130-2278
Phone (415) 341-5456

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
I20120716000481 CA Practitioner - Ophthalmology 8325162456 Reassigns benefits to 1 organization
Practice locations: La Jolla, CA

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12630 Monte Vista Rd
Suite 104
Poway, CA 92064-2526
Phone (858) 451-1911

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A100888CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Consultants San Diego Inc Ophthalmology CurrentSince Jun 29, 2012 Accepting new patients
Retina Consultants San Diego Inc Ophthalmology CurrentSince Jun 29, 2012 Accepting new patients
Scripps Health Current Accepting new patients
Retinovitreous Associates LTD Ophthalmology Past Accepting new patients
Palomar Health Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

1317 Ynez Pl
Ste A
Coronado, CA 92118
Phone (619) 435-8800

9850 Genesee Ave
Ste 700
La Jolla, CA 92037
Phone (858) 451-1911

12630 Monte Vista Rd
Ste 104
Poway, CA 92064
Phone (858) 451-1911

3965 5th Ave
Ste 330
San Diego, CA 92103
Phone (858) 451-1911

Interoperability endpoints

  • Direct secure messaging: nlondon71388@scrippshlth.medalliesdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386201600000",
    "number": "1730418849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12475 CAMARERO CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302278",
            "telephone_number": "415-341-5456",
            "fax_number": "858-558-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12475 CAMARERO CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302278",
            "telephone_number": "415-341-5456",
            "fax_number": "858-558-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONDON",
        "first_name": "NIKOLAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-18",
        "last_updated": "2013-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A100888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.