Active NPI
Jonathan Isaac Macy, MD
- Ophthalmology Physician
- Los Angeles, CA
National Provider Identifier
1922020205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G35551
- Practice address
- 8635 W Third Street
Suite 360W
Los Angeles, CA 90048-6101 - Phone
- (310) 657-2777
- Fax
- (310) 657-0356
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G35551 | CA | Primary |
Addresses
Primary practice location
8635 W Third Street
Suite 360W
Los Angeles, CA 90048-6101
Mailing address
8635 W Third Street
Suite 360W
Los Angeles, CA 90048-6101
Phone (310) 657-2777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G355510 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Boston University School of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8635 W 3Rd St
Suite 360W
Los Angeles, CA 90048-6149
Phone (310) 657-2777
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.74 of 100
- Quality
- 73.33
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 157 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G35551 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles Vision Institute | Ophthalmology | Current | Accepting new patients |
| Jonathan I Macy M D Inc | Ophthalmology | Current | Accepting new patients |
| Southern California Healthcare System, Inc | Past | Accepting new patients | |
| Brotman Medical Center, Inc. | Ophthalmology | Past | Accepting new patients |
| Cedars-Sinai Medical Center | Past | Accepting new patients |
Locations
8635 W 3rd St
Ste 360W
Los Angeles, CA 90048
Phone (310) 657-2777
8635 W 3rd St
Ste 360
West Hollywood, CA 90048
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 5
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.
-
- Ophthalmology Physician
- Los Angeles, CA
- NPI 1386745669
-
- Ophthalmology Physician
- Los Angeles, CA
- NPI 1043086119
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- Psychiatric Hospital Unit
- Culver City, CA
- NPI 1487905725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581638400000",
"number": "1922020205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8635 W THIRD STREET",
"address_2": "SUITE 360W",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900486101",
"telephone_number": "310-657-2777",
"fax_number": "310-657-0356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8635 W THIRD STREET",
"address_2": "SUITE 360W",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900486101",
"telephone_number": "310-657-2777",
"fax_number": "310-657-0356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACY",
"first_name": "JONATHAN",
"middle_name": "ISAAC",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2020-02-14",
"certification_date": "2020-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "G35551",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G355510",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.