RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP (NPI# 1659764710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659764710 |
| Entity Type | Organization |
| Organization Name | RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP |
| Practice Address |
5400 Balboa Blvd 222 Encino CA 91316-1502 |
| Mailing Address |
100 E California Blvd Pasadena CA 91105-3205 |
| Practice Telephone | 8189900070 |
| Practice Fax Number | 8189900082 |
| Mailing Telephone | 6265688868 |
| Mailing Fax Number | 6265747188 |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2015-03-13 |
| 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 |
5400 BALBOA BLVD 222 |
| City | ENCINO |
| State | CA |
| Zip Code | 91316-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558360164 | Robert M Hartman | Dermatology | 5400 Balboa Blvd, Suite 329, Encino, CA 91316-5246 | 2005-07-15 |
| 1831637842 | Danielle Sanchez-hughes | Occupational Therapist | 5400 Balboa Blvd, Encino, CA 91316-1502 | 2017-02-09 |
| 1932659547 | Advanced Sleep Medicine Services, Inc. | Clinic/Center | 5400 Balboa Blvd, Ste 126, Encino, CA 91316-1502 | 2016-10-06 |
| 1215382700 | Healing Hands Rehab Inc | Prosthetic/Orthotic Supplier | 5400 Balboa Blvd, Suite 302, Encino, CA 91316-1502 | 2016-05-03 |
| 1245695220 | Leonora Fihman, Dpm, PC | Podiatrist | 5400 Balboa Blvd, 321, Encino, CA 91316-1502 | 2015-12-17 |
| 1356721351 | Maurice R Masliah Dpm | Clinic/Center | 5400 Balboa Blvd, 225, Encino, CA 91316-1502 | 2015-06-04 |
| 1427440262 | Linda Y Makuta Dds PC | Clinic/Center | 5400 Balboa Blvd, Suite 229, Encino, CA 91316-1502 | 2015-03-03 |
| 1770917585 | Nahid Rezapour | Student in an Organized Health Care Education/Training Program | 5400 Balboa Blvd, Ste 209, Encino, CA 91316-5218 | 2013-08-28 |
| 1639420078 | Swanson, Conti and Associates | Psychologist | 5400 Balboa Blvd, Suite 311, Encino, CA 91316-1502 | 2012-09-25 |
| 1154693281 | Leonora Fihman | Podiatrist | 5400 Balboa Blvd, Encino, CA 91316-1502 | 2012-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883341 | Kerry Ann Mclean | Marriage & Family Therapist | 1777 Ventura Blvd Unit 103, Encino, CA 91316 | 2020-05-27 |
| 1336793124 | Achieve Speech Associates, Inc. | Clinic/Center | 17605 Ventura Boulevard, #302, Encino, CA 91316 | 2019-07-30 |
| 1053978312 | Somnia Sleep Science & Treatment Center | Clinic/Center | 5435 Balboa Blvd Suite 100, Encino, CA 91316 | 2019-05-22 |
| 1437634466 | New Spirit Recovery, LLC | Substance Abuse Rehabilitation Facility | 17856 Cathedral Pl., Encino, CA 91316 | 2018-09-25 |
| 1649762014 | Hashemi Ophthalmology, PC | Ophthalmology | 5353 Balboa Blvd Ste 110, Encino, CA 91316 | 2018-06-01 |
| 1932614310 | Hannah Esther Weinsrein | Marriage & Family Therapist | 17337 Ventura Blvd., Sutie #317, Encino, CA 91316 | 2017-12-07 |
| 1881118560 | Paula Miley | Marriage & Family Therapist | 5535 Balboa Blvd #202, Encino, CA 91316 | 2017-08-03 |
| 1477088193 | Rachela Conti | Psychologist | 5400 Balboa Blvd. #311, Encino, CA 91316 | 2017-05-01 |
| 1962857235 | Jessica Shlager | Occupational Therapist | 6345 Balboa Boulevard Suite 120, Encino, CA 91316 | 2016-04-25 |
| 1720432800 | Canyon West Los Angeles LLC | Clinic/Center | 17167 W. Ventura Boulevard, Encino, CA 91316 | 2016-04-14 |
| Find all providers in zip 91316 | ||||
| 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 |
|---|---|---|---|---|
| 1043609456 | Gerald Sidney Sanders | Specialist | 17100 Mccormick St, Encino, CA 91316-2638 | 2015-01-22 |
| 1134556947 | Michael Shiffman | Specialist | 4956 Gaviota Ave, Encino, CA 91436-1425 | 2013-10-11 |
| 1992140495 | Sm Med Corp | Specialist | 16530 Ventura Blvd Ste 100, Encino, CA 91436-2006 | 2013-05-09 |
| 1457591315 | Adrian Yi Md, Inc | Specialist | 16311 Ventura Blvd Ste 550, Encino, CA 91436-4314 | 2009-03-04 |
| 1427296102 | Jonas Kourosh Faghihi | Specialist | 17944 Collins Street, Encino, CA 91316 | 2009-02-03 |
| 1184882342 | Julie Oyanguren | Specialist | 5400 Balboa Blvd Ste 302, Encino, CA 91316-5219 | 2008-05-23 |
| 1427259365 | Tony F. Feuerman, M.d., A Medical Corporation | Specialist | 16133 Ventura Blvd Ste 1105, Encino, CA 91436-2415 | 2007-05-29 |
| 1144340647 | Bijan Broukhim, Md, Inc. | Specialist | 16311 Ventura Blvd # 930, Encino, CA 91436 | 2007-03-29 |
| 1083743157 | Allan H. Klass, M.d. A Medical Corporation | Specialist | 16133 Ventura Blvd No. 400, Encino, CA 91436-2429 | 2007-03-05 |
| 1902946585 | Tmg Medical Group, Inc | Specialist | 17834 Miranda St, Encino, CA 91316-1115 | 2007-02-06 |
| Find all providers in ENCINO | ||||
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| 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.