Individual provider Active NPI

Cory Michael Hoeferlin, MD

  • Ophthalmology Physician
  • Beverly Hills, CA
National Provider Identifier
1831692631
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A165313 Issued in CA
Practice address
200 N Robertson Blvd Ste 303
Beverly Hills, CA 90211-6001
Phone
(103) 853-4503
NPI assigned
Mar 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A165313 CA Primary

Addresses

Primary practice location

200 N Robertson Blvd Ste 303
Beverly Hills, CA 90211-6001

Mailing address

PO Box 11688
Santa Rosa, CA 95406-1688
Phone (707) 588-7939

Other practice location 1

1310 Prentice Dr Ste F
Healdsburg, CA 95448-5004
Phone (707) 433-9475

Other practice location 2

104 Lynch Creek Way Ste 15
Petaluma, CA 94954-2387
Phone (707) 762-3573

Other practice location 3

35 Maple St
Sonoma, CA 95476-7014
Phone (707) 996-1052

Other practice location 4

380 Tesconi Ct
Santa Rosa, CA 95401-4653
Phone (707) 544-3375

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
I20230901002897 CA Practitioner - Ophthalmology 3476916792 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Emory University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

200 N Robertson Blvd
Suite 202
Beverly Hills, CA 90211-6002
Phone (310) 423-3078

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery213

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A165313CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Bay Eye Associates a Medical Corporation Ophthalmology CurrentSince Sep 5, 2023 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Aug 1, 2024 Accepting new patients
North Bay Eye Associates a Medical Corporation CurrentSince Sep 5, 2023 Accepting new patients

Locations

200 N Robertson Blvd
Ste 303
Beverly Hills, CA 90211
Phone (310) 385-3450

200 N Robertson Blvd
Ste 202
Beverly Hills, CA 90211
Phone (310) 385-3300

450 N Roxbury Dr
Ste 600
Beverly Hills, CA 90210
Phone (310) 651-2050

1310 Prentice Dr
Ste F
Healdsburg, CA 95448
Phone (707) 433-9475

225 S Main St
Lakeport, CA 95453
Phone (707) 263-0101

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

104 Lynch Creek Way
Ste 15
Petaluma, CA 94954
Phone (707) 762-3573

50 Professional Center Dr
Ste 210
Rohnert Park, CA 94928
Phone (707) 588-7939

380 Tesconi Ct
Santa Rosa, CA 95401
Phone (707) 544-3375

35 Maple St
Sonoma, CA 95476
Phone (415) 972-4600

Interoperability endpoints

  • Direct secure messaging: choeferlin504876@direct.cshs.org

Organizations & group practices 3

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": "1521331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1831692631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11688",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954061688",
            "telephone_number": "707-588-7939",
            "fax_number": "707-588-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N ROBERTSON BLVD STE 303",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902116001",
            "telephone_number": "103-853-4503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 Prentice Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Healdsburg",
            "state": "CA",
            "postal_code": "954485004",
            "country_code": "US",
            "telephone_number": "707-433-9475",
            "fax_number": "707-431-2013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Lynch Creek Way Ste 15",
            "address_purpose": "LOCATION",
            "city": "Petaluma",
            "state": "CA",
            "postal_code": "949542387",
            "country_code": "US",
            "telephone_number": "707-762-3573",
            "fax_number": "707-762-6873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Maple St",
            "address_purpose": "LOCATION",
            "city": "Sonoma",
            "state": "CA",
            "postal_code": "954767014",
            "country_code": "US",
            "telephone_number": "707-996-1052",
            "fax_number": "707-996-6787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "380 Tesconi Ct",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954014653",
            "country_code": "US",
            "telephone_number": "707-544-3375",
            "fax_number": "707-544-0808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOEFERLIN",
        "first_name": "CORY",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-18",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A165313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.