RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP (NPI# 1215320429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215320429 |
| Entity Type | Organization |
| Organization Name | RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP |
| Practice Address |
1801 E Tahquitz Canyon Way Ste. 200 Palm Springs CA 92262-7120 |
| Mailing Address |
100 E California Blvd Pasadena CA 91105-3205 |
| Practice Telephone | 7603272700 |
| Practice Fax Number | 7603272799 |
| Mailing Telephone | 6265688868 |
| Mailing Fax Number | 6265747188 |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2017-01-20 |
| Authorized Official Name | DR. TOM S CHANG (FOUNDER) |
| Authorized Official Telephone | 6265688838 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | A69909 | CA | Eye and Vision Services Providers |
| Y | 174400000X | Specialist | A69909 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GROUP NPI | 1760541569 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558826586 | Retina Institute of California Medical Group | Optometrist | 225 W Madison Ave Ste 1, El Cajon, CA 92020-3454 | 2019-02-04 |
| 1447715479 | Retina Institute of California Medical Group | Optometrist | 320 Santa Fe Dr Ste 104, Encinitas, CA 92024-5139 | 2019-02-04 |
| 1083007140 | Retina Institute of California Medical Group | Optometrist | 2423 N Broadway, Los Angeles, CA 90031-2218 | 2015-03-13 |
| 1124411285 | Retina Institute of California Medical Group | Optometrist | 14642 Newport Ave Ste 350, Tustin, CA 92780-6091 | 2015-03-13 |
| 1588057640 | Retina Institute of California Medical Group | Optometrist | 325 E. Rolling Oaks Drive, 130, Thousand Oaks, CA 91361-1201 | 2015-03-13 |
| 1912390097 | Retina Institute of California Medical Group | Optometrist | 47474 Washington St, La Quinta, CA 92253-8846 | 2015-03-12 |
| 1467845545 | Retina Institute of California Medical Group | Optometrist | 12828 Harbor Blvd Ste 305, Garden Grove, CA 92840-5835 | 2015-03-12 |
| 1508474313 | Retina Institute of California Medical Group | Optometrist | 5451 La Palma Ave Ste 44, La Palma, CA 90623-1732 | 2020-07-17 |
| 1003449604 | Retina Institute of California Medical Group | Ophthalmology | 9834 Genesee Ave Ste 428, La Jolla, CA 92037-1264 | 2020-02-21 |
| 1245878784 | Retina Institute of California Medical Group | Optometrist | 9850 Genesee Ave Ste 310, La Jolla, CA 92037-1208 | 2019-12-16 |
| Street Address |
1801 E TAHQUITZ CANYON WAY STE. 200 |
| City | PALM SPRINGS |
| State | CA |
| Zip Code | 92262-7120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972573103 | Sanjeev Grewal | Ophthalmology | 1801 E Tahquitz Canyon Way, Suite 200, Palm Springs, CA 92262-7120 | 2006-01-23 |
| 1639500929 | Alexander A Villarasa Md | Pediatrics | 1801 E Tahquitz Canyon Way, Ste 102, Palm Springs, CA 92262-7120 | 2013-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815610 | Dhara H Patel | Student in an Organized Health Care Education/Training Program | Gme Office, 1150 N. Palm Canyon Dr., Palm Springs, CA 92262 | 2020-06-08 |
| 1528683380 | Lizmar Cerezo Perez | Student in an Organized Health Care Education/Training Program | Gme Office 1150 N. Palm Canyon Dr. Palm Springs, Ca 922, Palm Springs, CA 92262 | 2020-06-08 |
| 1629637285 | Kimiko Tsuchiya | Family Medicine | 1150 North Palm Canyon Drive, Palm Springs, CA 92262 | 2019-06-07 |
| 1780240978 | Aly Sue Vancil | Counselor | 19531 Mclane St Suite B, Palm Springs, CA 92262 | 2019-05-14 |
| 1013477843 | Dennis Michael Woo | Student in an Organized Health Care Education/Training Program | 555 E. Tachevah Dr, Suite 2e - 204, Palm Springs, CA 92262 | 2019-03-19 |
| 1235609314 | Leslie Nohemi Vargas | Behavior Technician | 130 Golden Sands Dr, Palm Springs, CA 92262 | 2018-11-30 |
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1285123133 | Thuan Thi Nguyen | Social Worker | 1751 North Sunrise Way Suite G, Palm Springs, CA 92262 | 2018-05-07 |
| 1598268641 | Scotti Barnes Cassidy | Social Worker | 291 E Mel Ave Unit 261, Palm Springs, CA 92262 | 2018-03-15 |
| 1326577727 | William Alan Lee | Emergency Medicine | 1150 North Indian Canyon Drive, Palm Springs, CA 92262 | 2017-06-08 |
| Find all providers in zip 92262 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952870081 | Anielka Avila Zaldivar | Specialist | 3840 7th Ave N, Palm Springs, FL 33461-2826 | 2018-11-19 |
| 1902251259 | Michael Hyman | Specialist | 839 N Camino Condor, Palm Springs, CA 92262-5924 | 2016-04-24 |
| 1285060087 | Alaina Sandra Dunstan | Specialist | 220 Henthorne Dr Apt B16, Palm Springs, FL 33461-2038 | 2013-09-25 |
| 1730438482 | Guy T Burrows, Md LLC | Specialist | 1090 N Palm Canyon Dr, Suite E, Palm Springs, CA 92262-4439 | 2012-09-07 |
| 1114272382 | Ronald (nmn) Laporta | Specialist | 1065 E Via Altamira, Palm Springs, CA 92262-6117 | 2012-07-13 |
| 1447510458 | Charles John Supple | Specialist | 1349 Trofeo Cir, Palm Springs, CA 92262-5369 | 2012-05-23 |
| 1962700260 | Rancho Mirage Fertility Medical Clinic | Specialist | 1199 N. Indian Canyon Drive, Suite A, Palm Springs, CA 92262-5516 | 2011-03-10 |
| 1710115217 | Alice I Daniels | Specialist | 3940 E Mesquite Ave, Palm Springs, CA 92264-3432 | 2009-06-23 |
| 1508093220 | Jane Di Angelo Pardy | Specialist | 515 N Palm Canyon Dr, Suite 514, # 1, Palm Springs, CA 92262-5543 | 2009-06-20 |
| 1174795959 | Aijaz Hashmi, M.d. Inc. | Specialist | 555 E. Tachevah Dr., 1e-105, Palm Springs, CA 92262 | 2008-04-01 |
| Find all providers in PALM SPRINGS | ||||
| City | PALM SPRINGS |
| Zip Code | 92262 |
Please comment or provide details below to improve the information on RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.