Individual provider Active NPI

John S Lean, M D F R C S

  • Retina Specialist (Ophthalmology) Physician
  • Laguna Hills, CA
National Provider Identifier
1962513465
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
A41624 Issued in CA
Practice address
23521 Paseo de Valencia
#207
Laguna Hills, CA 92653-3107
Phone
(949) 707-5125
Fax
(949) 707-5129
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A41624 CA
Retina Specialist (Ophthalmology) Physician 207WX0107X A41624 CA Primary

Addresses

Primary practice location

23521 Paseo de Valencia
#207
Laguna Hills, CA 92653-3107

Mailing address

23521 Paseo de Valencia
#207
Laguna Hills, CA 92653-3107
Phone (949) 707-5125

Other identifiers 1

IdentifierTypeStateIssuer
00A416241MedicaidCA

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
I20070608000580 CA Practitioner - Ophthalmology 4284732512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Associates of Orange CountyGroup PAC ID 8729159629, 5 clinicians

Practice addresses (Care Compare)

2010 E 1St St
Suite 140
Santa Ana, CA 92705-4086
Phone (714) 543-6020

23521 Paseo de Valencia
Suite 207
Laguna Hills, CA 92653-3140
Phone (949) 707-5125

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41624CAMDGeneral Practice Dentistry
A41624CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Associates of Orange County Ophthalmology CurrentSince Jan 10, 2010 Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients
John C Hwang MD Mba Inc Ophthalmology Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients

Locations

23521 Paseo de Valencia
Ste 207
Laguna Hills, CA 92653
Phone (949) 707-5125

23521 Paseo de Valencia
Laguna Hills, CA 92653
Phone (949) 588-7262

2010 E 1st St
Santa Ana, CA 92705
Phone (714) 556-7246

2010 E 1st St
Ste 140
Santa Ana, CA 92705
Phone (714) 289-1559

1401 N Tustin Ave
Ste 220
Santa Ana, CA 92705
Phone (714) 543-6020

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jlean@retinaoc.intellechartdirect.net

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1962513465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23521 PASEO DE VALENCIA",
            "address_2": "#207",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533107",
            "telephone_number": "949-707-5125",
            "fax_number": "949-707-5129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23521 PASEO DE VALENCIA",
            "address_2": "#207",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533107",
            "telephone_number": "949-707-5125",
            "fax_number": "949-707-5129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAN",
        "first_name": "JOHN",
        "middle_name": "S",
        "credential": "M D F R C S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A41624",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "A41624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A416241",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.