Organization Active NPI

California Eye Professionals Medical Group Inc PC

  • Specialist
  • Menifee, CA
National Provider Identifier
1831494426
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G50680 Issued in CA
Legal business name
CALIFORNIA EYE PROFESSIONALS MEDICAL GROUP INC PC
Practice address
29826 Haun Rd
Ste 100
Menifee, CA 92586-6546
Phone
(951) 301-8888
Fax
(951) 301-4137
NPI assigned
Jan 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Authorized official

Name
William Blase, MD
Title
Owner
Phone
(951) 301-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X G50680 CA Primary

Addresses

Primary practice location

29826 Haun Rd
Ste 100
Menifee, CA 92586-6546

Mailing address

29826 Haun Rd
Ste 100
Menifee, CA 92586-6546
Phone (951) 301-8888

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1831494426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29826 HAUN RD",
            "address_2": "STE 100",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925866546",
            "telephone_number": "951-301-8888",
            "fax_number": "951-301-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29826 HAUN RD",
            "address_2": "STE 100",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925866546",
            "telephone_number": "951-301-8888",
            "fax_number": "951-301-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA EYE PROFESSIONALS MEDICAL GROUP INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "BLASE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-301-8888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G50680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.