Retina Medical Group

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G80625 Issued in CA

Legal business name

RETINA MEDICAL GROUP

Practice address

22451 Silver Spur
Lake Forest, CA 92630-4342

Phone

(714) 692-2431

NPI assigned

Sep 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Timothy You, MD

Title

Physician

Phone

(714) 692-2431

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1841440104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22451 SILVER SPUR",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22451 SILVER SPUR",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304342",
            "telephone_number": "714-692-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "YOU",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "714-692-2431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G80625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Recentered Life
• Nova M Reed, MA, CLC
• Reflective Wellness LLC
• Megan Reilly, MOT, OTR/L
• Restorative Therapy Associates
• Rex Chuang, DDS, Inc.
• Julie Reyes, MAOM, LAC, DC
• Marissa Diane Reynolds
• Reza Dehdari MD Inc
• Richard R Moy, D.P.M., Inc

• Ophthalmology Physician in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.