Individual provider Active NPI

Morton Philip Israel, M.D.

  • Ophthalmology Physician
  • Corona, CA
National Provider Identifier
1902817158
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G19795 Issued in CA
Practice address
770 Magnolia Ave
Suite 1X
Corona, CA 92879-3120
Phone
(951) 734-9750
Fax
(951) 734-3404
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G19795 CA Primary
Eyewear Supplier 332H00000X 0788400001 CA

Addresses

Primary practice location

770 Magnolia Ave
Suite 1X
Corona, CA 92879-3120

Mailing address

770 Magnolia Ave
Suite 1X
Corona, CA 92879-3120
Phone (951) 734-9750

Other identifiers 1

IdentifierTypeStateIssuer
00G197950MedicaidCA

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
I20100622000780 CA Practitioner - Ophthalmology 4183755960 Practice locations: Corona, CA

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

800 Magnolia Ave
Suite 101
Corona, CA 92879-3123
Phone (951) 734-9750

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0788400001CAMDEyewear Supplier

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs Corona Inc Past Accepting new patients

Organizations & group practices 1

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1902817158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 MAGNOLIA AVE",
            "address_2": "SUITE 1X",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793120",
            "telephone_number": "951-734-9750",
            "fax_number": "951-734-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 MAGNOLIA AVE",
            "address_2": "SUITE 1X",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793120",
            "telephone_number": "951-734-9750",
            "fax_number": "951-734-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISRAEL",
        "first_name": "MORTON",
        "middle_name": "PHILIP",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G19795",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "0788400001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G197950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.