Organization Active NPI

Century Eye Care Medical Center, Inc.

Doing business as Century Eye Care

  • Ophthalmology Physician
  • Gardena, CA
National Provider Identifier
1871783019
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G83156 Issued in CA
Legal business name
CENTURY EYE CARE MEDICAL CENTER, INC.
Doing business as
Century Eye Care
Practice address
1141 W Redondo Beach Blvd
Ste 101
Gardena, CA 90247-3585
Phone
(310) 767-7814
Fax
(310) 323-3785
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Authorized official

Name
Cynthia Gascon
Title
Finance Executive Administrator
Phone
(310) 767-7814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G83156 CA Primary

Addresses

Primary practice location

1141 W Redondo Beach Blvd
Ste 101
Gardena, CA 90247-3585

Mailing address

1141 W Redondo Beach Blvd Ste 101
Gardena, CA 90247-3585
Phone (310) 767-7814

Other identifiers 3

IdentifierTypeStateIssuer
00G831560MedicaidCA
00G831561MedicaidCA
OOG831560MedicaidCAMEDI-CAL PROVISER NO

Other names 1

  • CENTURY EYE CARE Doing business as

National Provider Directory

National Provider Directory

Locations

1141 W Redondo Beach Blvd
Ste 101
Gardena, CA 90247
Phone (310) 767-7814

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767139200000",
    "number": "1871783019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 W REDONDO BEACH BLVD STE 101",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473585",
            "telephone_number": "310-767-7814",
            "fax_number": "310-323-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 W REDONDO BEACH BLVD",
            "address_2": "STE 101",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473585",
            "telephone_number": "310-767-7814",
            "fax_number": "310-323-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURY EYE CARE MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A",
        "authorized_official_last_name": "GASCON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "FINANCE EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "310-767-7814"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G83156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G831560",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G831561",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": "MEDI-CAL PROVISER NO",
            "identifier": "OOG831560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTURY EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; 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.