A de la Pena M D a Medical Group Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

A DE LA PENA M D A MEDICAL GROUP INC

Doing business as

A. De La Pena MD, AMG, Inc.

Practice address

1520 N Grand Ave
Santa Ana, CA 92701-2627

Phone

(714) 558-1385

Fax

(714) 558-7269

NPI assigned

Jul 28, 2006

Last updated

Jun 18, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Albert De la Pena, M.D.NPI 1649295114

Title

President/ Medical Director

Phone

(714) 558-1385

Specialties & licenses 2

Addresses

Other names 1

• A. De La Pena MD, AMG, Inc. Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Albert De la Pena, M.D.

  • Ophthalmology Physician
  • Montebello, CA
  • NPI 1649295114
  Authorized official Same address or phone

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1811901762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2446 W WHITTIER BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403041",
            "telephone_number": "323-728-5500",
            "fax_number": "323-728-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 N GRAND AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012627",
            "telephone_number": "714-558-1385",
            "fax_number": "714-558-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A DE LA PENA M D A MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "DE LA PENA",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "PRESIDENT/ MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-558-1385",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A. De La Pena MD, AMG, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ophthalmology Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.