Pacific Eye Institute, a Medical Group, Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

PACIFIC EYE INSTITUTE, A MEDICAL GROUP, INC.

Practice address

555 N 13TH Ave
Upland, CA 91786-4904

Phone

(909) 982-8846

Fax

(909) 949-3967

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Dante Cervantes

Title

Medical Staff Services Specialist

Phone

(909) 277-2420

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Pacific Eye Institute a Medical Group Inc

  • Ambulatory Surgical Clinic/Center
  • Upland, CA
  • NPI 1407932619

  7911966122

  Same PAC ID

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

CLIA laboratory certificates

Tax ID family

Pacific Eye Institute a Med2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pacific Eye Institute a Medical Group Inc

  • Ophthalmology Physician
  • Apple Valley, CA
  • NPI 1316680200
  NPD tax ID

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Interoperability endpoints

• Direct secure messaging: slin@pacificeyelaser.intellechartdirect.net
• Direct secure messaging: ptaunton@pacificeyelaser.intellechartdirect.net
• Direct secure messaging: amorton@pacificeyelaser.intellechartdirect.net
• Direct secure messaging: rallen@pacificeyelaser.intellechartdirect.net
• Direct secure messaging: nnassiri@pacificeyelaser.intellechartdirect.net
• Direct secure messaging: jbokosky@pacificeyelaser.intellechartdirect.net
• Direct secure messaging: cng@pacificeyelaser.intellechartdirect.net
• Direct secure messaging: ffaramarzi@pacificeyelaser.intellechartdirect.net
• Direct secure messaging: mdaniel@pacificeyelaser.intellechartdirect.net
• Direct secure messaging: abutler@pacificeyelaser.intellechartdirect.net
• Direct secure messaging: clee@pacificeyelaser.intellechartdirect.net
• Direct secure messaging: ckytasty@pacificeyelaser.intellechartdirect.net
• Direct secure messaging: mhenao@pacificeyelaser.intellechartdirect.net
• Direct secure messaging: dhanna@pacificeyelaser.intellechartdirect.net
• Direct secure messaging: cberkowitz@pacificeyelaser.intellechartdirect.net
• Direct secure messaging: nchoplin@pacificeyelaser.intellechartdirect.net
• Direct secure messaging: sjulazadeh@pacificeyelaser.intellechartdirect.net
• Direct secure messaging: kprendiville@pacificeyelaser.intellechartdirect.net
• Direct secure messaging: mkirk@pacificeyelaser.intellechartdirect.net
• Direct secure messaging: jremulla@pacificeyelaser.intellechartdirect.net

Practitioners 51

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marina Awadalla Abdou, OD

  • Optometrist
  • Upland, CA
  • NPI 1356017321
  Medicare reassignment Care Compare group NPD
• Rachael Ann Allen, D.O

  • Ophthalmology Physician
  • San Diego, CA
  • NPI 1801275391
  Medicare reassignment Care Compare group NPD
• Pejman Bakhtiary, M.D.

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1174938062
  Medicare reassignment Care Compare group NPD
• Pamela Bekendam, M.D.

  • Ophthalmology Physician
  • Upland, CA
  • NPI 1225135288
  Medicare reassignment Care Compare group NPD
• Peter D Bekendam, MD

  • Ophthalmology Physician
  • Upland, CA
  • NPI 1740468263
  Medicare reassignment Care Compare group NPD
• Carla Bess Berkowitz

  • Ophthalmology Physician
  • San Diego, CA
  • NPI 1578928669
  Medicare reassignment Care Compare group NPD
• Siddharth Bhargava, MD

  • Ophthalmology Physician
  • Upland, CA
  • NPI 1043849078
  Medicare reassignment Care Compare group NPD
• Nicolas Gabriel Biro, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • West Covina, CA
  • NPI 1497959332

  Ophthalmology

  Medicare reassignment Care Compare group NPD
• Christopher L Blanton, MD

  • Ophthalmology Physician
  • Colton, CA
  • NPI 1336142892
  Medicare reassignment Care Compare group NPD
• Ashley Kristine Butler, O.D.

  • Optometrist
  • Oceanside, CA
  • NPI 1386932374
  Medicare reassignment Care Compare group NPD
• Rebecca Lynne Chait, M.D.

  • Ophthalmology Physician
  • Palm Desert, CA
  • NPI 1588083547
  Medicare reassignment Care Compare group NPD
• Clement K. Chan, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Palm Desert, CA
  • NPI 1336131408
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1962422709",
    "addresses": [
        {
            "country_code": "US",
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            "address_purpose": "MAILING",
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            "address_1": "555 N 13TH AVE",
            "city": "UPLAND",
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            "postal_code": "917864904",
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        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 E Mountain View St",
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            "postal_code": "923112937",
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        {
            "address_1": "11959 Mariposa Rd",
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        },
        {
            "address_1": "930 W Main St",
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            "postal_code": "923112654",
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            "fax_number": "909-949-3967",
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        },
        {
            "address_1": "9834 Genesee Ave Ste 200",
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            "city": "LA Jolla",
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        },
        {
            "address_1": "16177 Kamana Rd",
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            "city": "Apple Valley",
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            "telephone_number": "760-946-0618",
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        },
        {
            "address_1": "9834 Genesee Ave Ste 428",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920371264",
            "country_code": "US",
            "telephone_number": "800-765-2737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8112 Milliken Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917307473",
            "country_code": "US",
            "telephone_number": "800-345-8979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 W El Norte Pkwy",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920263923",
            "country_code": "US",
            "telephone_number": "800-765-2737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 E Washington St",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923244614",
            "country_code": "US",
            "telephone_number": "800-645-8979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12442 Limonite Ave Unit 200",
            "address_purpose": "LOCATION",
            "city": "Eastvale",
            "state": "CA",
            "postal_code": "917522467",
            "country_code": "US",
            "telephone_number": "800-345-8979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6216 Brockton Ave Ste 214",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925062223",
            "country_code": "US",
            "telephone_number": "951-686-1190",
            "country_name": "United States",
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        },
        {
            "address_1": "340 S Farrell Dr Bldg 105",
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            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922627963",
            "country_code": "US",
            "telephone_number": "760-327-6225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "591 N 13th Ave",
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            "telephone_number": "800-345-8979",
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        {
            "address_1": "5330 Carroll Canyon Rd Ste 210",
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        {
            "address_1": "3939 3rd Ave",
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            "postal_code": "921033002",
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            "telephone_number": "858-450-1010",
            "country_name": "United States",
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        },
        {
            "address_1": "41877 Enterprise Cir N Ste 110",
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            "city": "Temecula",
            "state": "CA",
            "postal_code": "925905628",
            "country_code": "US",
            "telephone_number": "800-345-8979",
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        {
            "address_1": "591 N 13th Ave Ste 3",
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        {
            "address_1": "40055 Bob Hope Dr Ste J",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703940",
            "country_code": "US",
            "telephone_number": "760-346-5005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15099 Kamana Rd",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "CA",
            "postal_code": "923071388",
            "country_code": "US",
            "telephone_number": "800-345-8979",
            "fax_number": "800-345-8979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3637 Vista Way",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920564522",
            "country_code": "US",
            "telephone_number": "760-758-2008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36949 Cook St Ste 101",
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            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922116080",
            "country_code": "US",
            "telephone_number": "760-340-2394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9481 Haven Ave Ste 200",
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            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917305811",
            "country_code": "US",
            "telephone_number": "909-937-9230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PACIFIC EYE INSTITUTE, A MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "CERVANTES",
        "authorized_official_first_name": "DANTE",
        "authorized_official_title_or_position": "MEDICAL STAFF SERVICES SPECIALIST",
        "authorized_official_telephone_number": "909-277-2420"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0055503",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0055500",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0055502",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Deanna Elyse Padilla
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• Jean Paek
• Najmeh Pakniyat, MD
• Martha Millen Palacios, MS, PPS, APCC

• Ophthalmology Physician in Upland, CA
• Providers in Upland, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.