Organization Active NPI

New Vista Eye Care Medical Group

  • Ophthalmology Physician
  • Corona, CA
National Provider Identifier
1982824447
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
NEW VISTA EYE CARE MEDICAL GROUP
Practice address
1820 Fullerton Ave Ste 310
Corona, CA 92881-3175
Phone
(951) 734-8600
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
James Lowell Davidian, M.D.
Title
President
Phone
(951) 734-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1820 Fullerton Ave Ste 310
Corona, CA 92881-3175

Mailing address

1820 Fullerton Ave Ste 310
Corona, CA 92881-3175
Phone (951) 734-8600

National Provider Directory

National Provider Directory

Locations

1820 Fullerton Ave
Ste 310
Corona, CA 92881
Phone (909) 734-8600

Practitioners & affiliated clinicians

Practitioners 1

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": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982824447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 FULLERTON AVE STE 310",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813175",
            "telephone_number": "951-734-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 FULLERTON AVE STE 310",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813175",
            "telephone_number": "951-734-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VISTA EYE CARE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIDIAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LOWELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-734-8600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.