Eduardo Pedro Macias, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A86739 Issued in CA

Practice address

18066 Foothill Blvd
Fontana, CA 92335-8503

Phone

(909) 427-8900

Fax

(951) 359-0550

NPI assigned

Jun 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Ophthalmology

Education

University of California, Geffen School of Medicine, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Eduardo P Macias, MD, Inc.

  • Ophthalmology Physician
  • Fontana, CA
  • NPI 1366562613
  Medicare reassignment NPD Authorized official
• Doctors Hospital of Riverside LLC

  • General Acute Care Hospital
  • Riverside, CA
  • NPI 1124596382
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1871539130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18066 FOOTHILL BLVD",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923358503",
            "telephone_number": "909-427-8900",
            "fax_number": "951-359-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18066 FOOTHILL BLVD",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923358503",
            "telephone_number": "909-427-8900",
            "fax_number": "951-359-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIAS",
        "first_name": "EDUARDO",
        "middle_name": "PEDRO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A86739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A867390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maagboy Enterprise LLC
• Hisham Maassarani, CRNA
• Andrew Ellis Macelroy Jr., RN
• Alan Enrique Machado, DDS
• Diane Macias
• Madahi Gizeh Macias
• Douglas K. Mack, MD
• Tara Nicole Mackie, LCSW
• Heather J Maddox, RN, CRNA
• Nancy Madi

• Ophthalmology Physician in Fontana, CA
• Providers in Fontana, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.