Organization Active NPI

Mission Hills Eye Center Medical Associates, Inc.

  • Specialist
  • Concord, CA
National Provider Identifier
1902986003
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G071732 Issued in CA
Legal business name
MISSION HILLS EYE CENTER MEDICAL ASSOCIATES, INC.
Practice address
2338 Almond Ave
Concord, CA 94520-2026
Phone
(925) 685-1130
Fax
(925) 685-1130
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Authorized official

Name
Dr. Resham Chahal, MDNPI 1023061959
Title
President
Phone
(925) 685-1130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G071732 CA Primary

Addresses

Primary practice location

2338 Almond Ave
Concord, CA 94520-2026

Mailing address

2338 Almond Ave
Concord, CA 94520-2026
Phone (925) 685-1130

Other identifiers 1

IdentifierTypeStateIssuer
00G717320MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090220000094 CA Part B Supplier - Clinic/Group Practice 4789573957 Receives reassigned benefits from 2 practitioners
Practice locations: Pittsburg, CA; Pleasant Hill, CA

National Provider Directory

National Provider Directory

Locations

2250 Gladstone Dr
Ste 1
Pittsburg, CA 94565
Phone (925) 432-8422

1515 Contra Costa Blvd
Pleasant Hill, CA 94523
Phone (925) 671-2510

2333 San Ramon Valley Blvd
Ste 145
San Ramon, CA 94583
Phone (510) 820-9600

600 Nut Tree Rd
Ste 150
Vacaville, CA 95687
Phone (707) 447-2552

100 Hospital Dr
Ste 301
Vallejo, CA 94589
Phone (707) 552-5533

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/9p7k5f3d

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1902986003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2338 ALMOND AVE",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202026",
            "telephone_number": "925-685-1130",
            "fax_number": "925-685-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2338 ALMOND AVE",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202026",
            "telephone_number": "925-685-1130",
            "fax_number": "925-685-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION HILLS EYE CENTER MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "CHAHAL",
        "authorized_official_first_name": "RESHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-685-1130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G071732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G717320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.