Phuc Hong Quach, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12891 Issued in CA

Practice address

23640 N St BLDG 758
Riverside, CA 92518-1893

Phone

(951) 656-9218

Fax

(951) 656-9237

NPI assigned

Mar 14, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Philip Quach Professional name

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Retina Institute of California Medical Group, a California Medical ParGroup PAC ID 4587760749, 76 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Retina Institute of California Medical Group, a California Medical Par

  dba Acuity Eye Group

  • Ophthalmology Physician
  • Pasadena, CA
  • NPI 1760541569

  Optometrist

  Medicare reassignment Care Compare group NPD
• Trilogy Eye Medical Group Inc

  dba Acuity Eye Specialists

  • Ophthalmology Physician
  • Pasadena, CA
  • NPI 1114205432

  Optometrist

  NPD
• Barry a. Katzman, M.D., Inc Apc

  dba West Coast Eye Care Associates

  • Optometrist
  • San Diego, CA
  • NPI 1588842488
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1770617805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23640 N ST BLDG 758",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925181893",
            "telephone_number": "741-884-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23640 N ST BLDG 758",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925181893",
            "telephone_number": "951-656-9218",
            "fax_number": "951-656-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUACH",
        "first_name": "PHUC",
        "middle_name": "HONG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHILIP",
            "last_name": "QUACH",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Zahab Qazi, MD
• Bella Huizi Qin
• Shireen Qishta, DO
• Andy Hoang Quach, APCC
• Dong A. Quach, MD
• Monica Quail
• Quality Care Transportation
• Quality Choice Hospice Inc.
• Quality Life Psychiatric & Psychological Group, Inc.
• Joseph Quan, MD

• Optometrist in Riverside, CA
• Providers in Riverside, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.