Individual provider Active NPI

Stephen C Dinsmore, M.D.

  • Ophthalmology Physician
  • Torrance, CA
National Provider Identifier
1891906707
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
WG32005 Issued in CA
Practice address
19000 Hawthorne Blvd
#110
Torrance, CA 90503-1517
Phone
(310) 370-3628
Fax
(310) 371-7863
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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 WG32005 CA Primary

Addresses

Primary practice location

19000 Hawthorne Blvd
#110
Torrance, CA 90503-1517

Mailing address

19000 Hawthorne Blvd
110
Torrance, CA 90503-1517
Phone (310) 370-3628

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
I20050729000934 CA Practitioner - Ophthalmology 8628022753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.43 of 100Reported as group
Quality
91.88
Promoting interoperability
76
Improvement activities
40
Cost
76.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32005CAMDClinical Psychologist
WG32005CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen C Dinsmore MD Inc Ophthalmology CurrentSince Nov 1, 1998 Accepting new patients
East-West Eye Institute a Medical Corporation Ophthalmology CurrentSince Jan 1, 2020 Accepting new patients
East-West Eye Institute a Medical Corporation Ophthalmology CurrentSince Jan 1, 2020 Accepting new patients
Retinal Consultants of Southern California Medical Group, Inc Past Accepting new patients

Locations

23441 Madison St
Ste 115
Torrance, CA 90505
Phone (424) 247-2206

23441 Madison St
Ste 120
Torrance, CA 90505
Phone (310) 370-3628

19000 Hawthorne Blvd
Ste 110
Torrance, CA 90503
Phone (310) 370-3628

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1891906707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19000 HAWTHORNE BLVD",
            "address_2": "110",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905031517",
            "telephone_number": "310-370-3628",
            "fax_number": "310-371-7863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19000 HAWTHORNE BLVD",
            "address_2": "#110",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905031517",
            "telephone_number": "310-370-3628",
            "fax_number": "310-371-7863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINSMORE",
        "first_name": "STEPHEN",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "WG32005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.