Organization Active NPI

Haven Eye Institute Inc

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1922549948
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
Legal business name
HAVEN EYE INSTITUTE INC
Practice address
9616 Archibald Ave Ste 140
Rancho Cucamonga, CA 91730-7943
Phone
(909) 481-0436
Fax
(909) 481-0457
NPI assigned
Mar 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Jacqueline Vela
Title
Contracts Manager
Phone
(909) 344-8934

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X
Pediatric Ophthalmology and Strabismus Specialist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207WX0110X Primary

Addresses

Primary practice location

9616 Archibald Ave Ste 140
Rancho Cucamonga, CA 91730-7943

Mailing address

1131 W 6TH St Ste 225
Ontario, CA 91762-1117

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180104001240 CA Part B Supplier - Clinic/Group Practice 7012276611 Receives reassigned benefits from 3 practitioners
Practice locations: Pomona, CA; Rancho Cucamonga, CA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1131 W 6th St
Ste 225
Ontario, CA 91762

9190 Haven Ave
Fl 2
Rancho Cucamonga, CA 91730
Phone (909) 581-6736

9616 Archibald Ave
Ste 140
Rancho Cucamonga, CA 91730
Phone (909) 481-0436

Practitioners & affiliated clinicians

Practitioners 5

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": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1922549948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 W 6TH ST STE 225",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917621117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9616 ARCHIBALD AVE STE 140",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307943",
            "telephone_number": "909-481-0436",
            "fax_number": "909-481-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN EYE INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "VELA",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CONTRACTS MANAGER",
        "authorized_official_telephone_number": "909-344-8934"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.