Individual provider Active NPI

Stephanie Midtling, MD

  • Ophthalmology Physician
  • La Jolla, CA
National Provider Identifier
1750843983
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A187633 Issued in CA
Practice address
9850 Genesee Ave Ste 310
La Jolla, CA 92037-1208
Phone
(800) 898-2020
NPI assigned
Apr 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X A187633 CA
Ophthalmology Physician 207W00000X A187633 CA Primary

Addresses

Primary practice location

9850 Genesee Ave Ste 310
La Jolla, CA 92037-1208

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

320 Santa Fe Dr Ste 104
Encinitas, CA 92024-5139
Phone (800) 898-2020

Other practice location 2

6945 El Cajon Blvd
San Diego, CA 92115-1754
Phone (619) 697-4600

Other practice location 3

625 S Fair Oaks Ave Ste 280
Pasadena, CA 91105-2670
Phone (626) 817-4747

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
I20230817001023 CA Practitioner - Ophthalmology 5890157200 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York Medical College, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North County Eye Center, Inc.Group PAC ID 0143274225, 11 clinicians

Practice addresses (Care Compare)

15706 Pomerado Rd
Suite 103
Poway, CA 92064-2032
Phone (858) 451-8600

225 E 2ND Ave
Suite 310
Escondido, CA 92025-4202
Phone (760) 738-9985

9850 Genesee Ave
La Jolla, CA 92037-1208
Phone (858) 457-3010

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A187633CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Institute of California Medical Group, a California Medical Par Ophthalmology CurrentSince Jun 11, 2024 Accepting new patients
Barry a. Katzman, M.D., Inc Apc Past Accepting new patients
Premiere Surgery Center, Inc Past Accepting new patients

Locations

500 S Anaheim Hills Rd
Ste 234
Anaheim, CA 92807
Phone (714) 282-5437

9500 Stockdale Hwy
Ste 108
Bakersfield, CA 93311
Phone (661) 663-8500

116 N Plaza St
Brawley, CA 92227
Phone (760) 344-4330

11525 Brookshire Ave
Downey, CA 90241
Phone (562) 861-0954

1420 Ocotillo Dr
El Centro, CA 92243
Phone (760) 353-1140

320 Santa Fe Dr
Ste 104
Encinitas, CA 92024
Phone (760) 943-0501

700 W El Norte Pkwy
Escondido, CA 92026
Phone (760) 738-7830

9850 Genesee Ave
Ste 310
La Jolla, CA 92037
Phone (619) 457-3010

7339 El Cajon Blvd
Ste A
La Mesa, CA 91942
Phone (619) 722-8460

6906 Brockton Ave
Ste 6
Riverside, CA 92506
Phone (951) 784-8373

6945 El Cajon Blvd
San Diego, CA 92115
Phone (619) 697-4600

58471 29 Palms Hwy
Ste 203
Yucca Valley, CA 92284
Phone (760) 365-7651

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: swoodmidtling357759@direct.uclahealth.org
  • Direct secure messaging: smidtling110929@direct.phhs.org

Organizations & group practices 5

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": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1750843983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 310",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371208",
            "telephone_number": "800-898-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Santa Fe Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920245139",
            "country_code": "US",
            "telephone_number": "800-898-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6945 El Cajon Blvd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921151754",
            "country_code": "US",
            "telephone_number": "619-697-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 S Fair Oaks Ave Ste 280",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911052670",
            "country_code": "US",
            "telephone_number": "626-817-4747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIDTLING",
        "first_name": "STEPHANIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-05",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "CA",
            "license": "A187633",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A187633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.