NPIMap

Organization Active NPI

Vitreo-Retinal Medical Group, Inc.

Doing business as Retinal Consultants Medical Group

  • Retina Specialist (Ophthalmology) Physician
  • Sacramento, CA
National Provider Identifier
1942842984
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
Legal business name
VITREO-RETINAL MEDICAL GROUP, INC.
Doing business as
Retinal Consultants Medical Group
Practice address
3 Parkcenter Dr
Ste 100
Sacramento, CA 95825-8340
Phone
(916) 596-2027
NPI assigned
Oct 10, 2019
Last updated
Oct 9, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
VITREO-RETINAL MEDICAL GROUP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Authorized official

Name
Joel Pearlman, MD
Title
President
Phone
(916) 596-2027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X NU Primary

Addresses

Primary practice location

3 Parkcenter Dr
Ste 100
Sacramento, CA 95825-8340

Mailing address

3 Park Center Dr Ste 100
Sacramento, CA 95825-8340
Phone (916) 596-2027

Other names 1

  • Retinal Consultants Medical Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050427000951 CA Part B Supplier - Clinic/Group Practice 5799672275 Receives reassigned benefits from 23 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Yuba City, CA; Tracy, CA; Fairfield, CA; Stockton, CA; Sacramento, CA; Roseville, CA; Merced, CA; Grass Valley, CA…

Other NPIs on the same Medicare enrollment 16

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

View all 16

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2029543Retinal Consultants Medical Group Inc3 Parkcenter Dr, Ste 100, Sacramento, CA 95825Certificate of waiverSep 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
Retinal Cons Med GRP in12 organizations share this tax ID, including this one
Part of
Retinal Cons Med GRP in

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3 Park Center Dr
Ste 100
Sacramento, CA 95825
Phone (916) 454-4861

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1942842984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PARK CENTER DR STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958258340",
            "telephone_number": "916-596-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PARKCENTER DR",
            "address_2": "STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958258340",
            "telephone_number": "916-596-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITREO-RETINAL MEDICAL GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VITREO-RETINAL MEDICAL GROUP, INC.",
        "enumeration_date": "2019-10-10",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "PEARLMAN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-596-2027",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Retinal Consultants Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Retinal Consultants Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.