Organization Active NPI

Ocular Surgery Medical Associates

  • Ophthalmic Technician/Technologist
  • Los Angeles, CA
National Provider Identifier
1790972693
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X
Legal business name
OCULAR SURGERY MEDICAL ASSOCIATES
Practice address
1245 Wilshire Blvd Ste 801
Los Angeles, CA 90017-4808
Phone
(213) 977-1184
NPI assigned
Sep 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Authorized official

Name
Nicole Rosene
Title
Office Manager
Phone
(818) 706-9191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Technician/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1100X Primary

Addresses

Primary practice location

1245 Wilshire Blvd Ste 801
Los Angeles, CA 90017-4808

Mailing address

1245 Wilshire Blvd Ste 801
Los Angeles, CA 90017-4808

Other identifiers 1

IdentifierTypeStateIssuer
GR0077481MedicaidCA

National Provider Directory

National Provider Directory

Locations

931 Buena Vista St
Ste 204
Duarte, CA 91010
Phone (626) 303-7788

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1790972693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD STE 801",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD STE 801",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174808",
            "telephone_number": "213-977-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCULAR SURGERY MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "ROSENE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-706-9191"
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0077481",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.