Individual provider Active NPI

Nicole Fuerst, M.D.

  • Ophthalmology Physician
  • West Covina, CA
National Provider Identifier
1871835355
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A161508 Issued in CA
Practice address
1135 S Sunset Ave Ste 312
West Covina, CA 91790-3965
Phone
(626) 856-2020
Fax
(626) 962-0974
NPI assigned
Mar 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cornea and External Diseases Specialist Physician 207WX0120X A161508 CA
Ophthalmology Physician 207W00000X A161508 CA Primary

Addresses

Primary practice location

1135 S Sunset Ave Ste 312
West Covina, CA 91790-3965

Mailing address

1135 S Sunset Ave Ste 312
West Covina, CA 91790-3965
Phone (626) 856-2020

Other practice location 1

1808 Verdugo Blvd Ste 103
Glendale, CA 91208-1482
Phone (818) 957-2020

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
I20190719001970 CA Practitioner - Ophthalmology 7719247204 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Perelman School of Med at the University of Pennsylvania, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David J Fuerst M D IncGroup PAC ID 1557319522, 2 clinicians
Cha Medical and Surgical Group PCGroup PAC ID 7618216607, 11 clinicians

Practice addresses (Care Compare)

1135 S Sunset Ave
Suite 312
West Covina, CA 91790-3965

1300 N Vermont Ave
Suite 101
Los Angeles, CA 90027-6061
Phone (323) 644-4445

1808 Verdugo Blvd
Suite 103
Glendale, CA 91208-1482
Phone (818) 957-2020

Hospital & facility affiliations

  • Hollywood Presbyterian Medical Center Hospital, Los Angeles, CA, CCN 050063

Merit-based Incentive Payment System (MIPS)

Final score
94.57 of 100Reported as group
Quality
97.96
Improvement activities
40
Cost
76.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery118

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A161508CAMDCornea and External Diseases Specialist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Eye Specialists Medical Group, Inc CurrentSince Jul 1, 2020 Accepting new patients
David J Fuerst MD Inc Ophthalmology CurrentSince Aug 1, 2019 Accepting new patients
Cha Medical and Surgical Group, PC Ophthalmology CurrentSince Oct 1, 2020 Accepting new patients
VHS San Antonio Partners LLC Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients
White Memorial Medical Center Past Accepting new patients
VHS San Antonio Partners LLC Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

14726 Ramona Ave
Ste 203
Chino, CA 91710
Phone (626) 305-9100

1025 N Brand Blvd
Ste 200
Glendale, CA 91202
Phone (818) 230-2140

1808 Verdugo Blvd
Ste 103
Glendale, CA 91208
Phone (818) 790-0702

150 S Grand Ave
Ste J
Glendora, CA 91741
Phone (626) 335-2114

1300 N Vermont Ave
Ste 101
Los Angeles, CA 90027
Phone (323) 644-4445

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

2619 E Colorado Blvd
#150
Pasadena, CA 91107
Phone (626) 305-9100

9170 Haven Ave
Ste 102
Rch Cucamonga, CA 91730
Phone (909) 440-1014

207 S Santa Anita St
Ste P25
San Gabriel, CA 91776
Phone (626) 200-1277

1135 S Sunset Ave
Ste 312
West Covina, CA 91790
Phone (626) 856-2020

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ZovcCzFH9WoaIYAtfnADtCEJJqhJ7vbO/
  • FHIR API: https://app.meldrx.com/api/fhir/imedicware_chamg
  • Direct secure messaging: nicole.fuerst.p1@direct.atlantiseyecare.nextgenshare.com

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1871835355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 S SUNSET AVE STE 312",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903965",
            "telephone_number": "626-856-2020",
            "fax_number": "626-962-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 S SUNSET AVE STE 312",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903965",
            "telephone_number": "626-856-2020",
            "fax_number": "626-962-0974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1808 Verdugo Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912081482",
            "country_code": "US",
            "telephone_number": "818-957-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUERST",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-21",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "CA",
            "license": "A161508",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A161508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.