Individual provider Active NPI

Jonathan Isaac Macy, MD

  • Ophthalmology Physician
  • Los Angeles, CA
National Provider Identifier
1922020205
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G35551 Issued in CA
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

Updated by the provider on Feb 14, 2020

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 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

IdentifierTypeStateIssuer
00G355510MedicaidCA

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
I20100225000223 CA Practitioner - Ophthalmology 9830093426 Reassigns benefits to 2 organizations

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
Los Angeles Vision InstituteGroup PAC ID 0042653222, 5 clinicians

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 100Reported as individual
Quality
73.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery157
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G35551CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles Vision Institute Ophthalmology CurrentSince Jan 1, 2024 Accepting new patients
Jonathan I Macy M D Inc Ophthalmology CurrentSince Aug 7, 1984 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.

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

Verify at the official NPI Registry.