Organization Active NPI

James McCaffery MD a Professional Corp

  • Ophthalmology Physician
  • Sylmar, CA
National Provider Identifier
1750580940
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
JAMES MCCAFFERY MD A PROFESSIONAL CORP
Practice address
14124 Foothill Boulevard
Sylmar, CA 91342-8049
Phone
(818) 364-8181
Fax
(818) 364-8185
NPI assigned
Jul 17, 2007
Organization subpart
Yes
Parent organization
JAMES MCCAFFERY MD A MEDICAL CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Candy Sorgani
Title
Practice Administrator
Phone
(818) 956-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

14124 Foothill Boulevard
Sylmar, CA 91342-8049

Mailing address

14124 Foothill Boulevard
Sylmar, CA 91342-8049
Phone (818) 364-8181

Other identifiers 3

IdentifierTypeStateIssuer
GR0098290MedicaidCA
GSD004670MedicaidCA
ZZZ75843Z CAMedicaidCA

Other names 1

  • Glendale Eye Medical Group, Inc. Doing business as

National Provider Directory

National Provider Directory
Part of
Glendale Eye M Edi

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1750580940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14124 FOOTHILL BOULEVARD",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913428049",
            "telephone_number": "818-364-8181",
            "fax_number": "818-364-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14124 FOOTHILL BOULEVARD",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913428049",
            "telephone_number": "818-364-8181",
            "fax_number": "818-364-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES MCCAFFERY MD A PROFESSIONAL CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JAMES MCCAFFERY MD A MEDICAL CORP",
        "enumeration_date": "2007-07-17",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "SORGANI",
        "authorized_official_first_name": "CANDY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "818-956-1010"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0098290",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD004670",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ75843Z CA",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glendale Eye Medical Group, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Glendale Eye Medical Group, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sylmar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.