Pasadena Eye Medical Group

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PASADENA EYE MEDICAL GROUP

Practice address

10 Congress St
Ste 340
Pasadena, CA 91105-3023

Phone

(626) 796-5325

Fax

(626) 796-5325

NPI assigned

Sep 26, 2006

Last updated

May 10, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David D Yu, M.D.NPI 1346212354

Title

General Partner

Phone

(626) 796-5325

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Pasadena Eye Medical Group

  • Medical Specialty Clinic/Center
  • Pasadena, CA
  • NPI 1134292121

  4688601826

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Pasadena Eye Medical Group

  • Medical Specialty Clinic/Center
  • Pasadena, CA
  • NPI 1134292121

  O20100329000203, O20100930018421

  Same enrollment

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Deok Yu, MD

  • Ophthalmology Physician
  • Pasadena, CA
  • NPI 1346212354
  NPD Authorized official
• Gerald Thorpe Bowns, MD

  • Ophthalmology Physician
  • Pasadena, CA
  • NPI 1225000672
  NPD
• Arbi Khemichian, MD

  • Ophthalmology Physician
  • Torrance, CA
  • NPI 1003056516
  NPD
• Christopher Patrick Long, MD

  • Ophthalmology Physician
  • Pasadena, CA
  • NPI 1023634516
  NPD
• Vicky Chia-Pei Pai, M.D.

  • Ophthalmology Physician
  • Glendora, CA
  • NPI 1740485895
  NPD
• Meriel L Wu, MD

  • Ophthalmology Physician
  • Pasadena, CA
  • NPI 1104897503
  NPD

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1942301395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CONGRESS ST",
            "address_2": "STE 340",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053023",
            "telephone_number": "626-796-5325",
            "fax_number": "626-796-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CONGRESS ST",
            "address_2": "STE 340",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053023",
            "telephone_number": "626-796-5325",
            "fax_number": "626-796-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA EYE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "626-796-5325",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "YU CA LIC",
            "identifier": "F26163",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A243881",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOWNS DMERC",
            "identifier": "4697820001",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RIFFENBURGH CA LIC",
            "identifier": "C13148",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WU CA LIC",
            "identifier": "G25807",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ79446Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOWNS CA LIC",
            "identifier": "A24388",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.