A DE LA PENA M D A MEDICAL GROUP INC (NPI# 1811901762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811901762 |
| Entity Type | Organization |
| Organization Name | A DE LA PENA M D A MEDICAL GROUP INC |
| Other Organization Name | A. DE LA PENA MD, AMG, INC. |
| Practice Address |
1520 N Grand Ave Santa Ana CA 92701-2627 |
| Mailing Address |
2446 W Whittier Blvd Montebello CA 90640-3041 |
| Practice Telephone | 7145581385 |
| Practice Fax Number | 7145587269 |
| Mailing Telephone | 3237285500 |
| Mailing Fax Number | 3237284408 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2013-06-18 |
| Authorized Official Name | ALBERT DE LA PENA (PRESIDENT/ MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7145581385 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| A. De La Pena MD, AMG, Inc. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962412643 | A De La Pena M D A Medical Group Inc | Optometrist | 139 S Alvarado St, Los Angeles, CA 90057-2201 | 2006-08-08 |
| 1871503557 | A De La Pena M D A Medical Group Inc | Optometrist | 2446 W Whittier Blvd, Montebello, CA 90640-3041 | 2006-08-08 |
| Street Address |
1520 N GRAND AVE |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92701-2627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831536481 | De La Pena Eye Clinic, A Medical Group, Inc | Optometrist | 1520 N Grand Ave, Santa Ana, CA 92701-2627 | 2013-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807401 | Midori K Dirig | Psychologist | 405 W. 3rd Street, Santa Ana, CA 92701 | 2020-09-28 |
| 1952915456 | Alexandria Bekele | Counselor | Address: 405 W. 5th Street, Santa Ana, CA 92701 | 2020-09-02 |
| 1508479239 | Candice Bjorkman | Counselor | 1201 E Fruit St, Santa Ana, CA 92701 | 2020-08-24 |
| 1013527365 | Maryiam Elizabeth Barkho | Dentist | 809 South Main Street Suite B, Santa Ana, CA 92701 | 2020-08-02 |
| 1447803788 | Emmett Eugene Cook II | Counselor | 1207 E Fruit Street, Santa Ana, CA 92701 | 2019-07-16 |
| 1619538741 | Emily H Sanders | Marriage & Family Therapist | 1800-f Parkcourt Place, Suite 205, Santa Ana, CA 92701 | 2019-06-28 |
| 1184191769 | Peace of Mind Wellness & Family Counseling, Inc. | Counselor | 1651 E. Fourth St Ste 240, Santa Ana, CA 92701 | 2018-10-31 |
| 1841765815 | Kelly Marie Contreras | Clinical Medical Laboratory | 902 N. Grand Avenue, Suite 204, Santa Ana, CA 92701 | 2018-10-05 |
| 1780176537 | Diane Carol Navarro-prescott | Counselor | 1633 East 4th Street, Santa Ana, CA 92701 | 2018-06-06 |
| 1750873758 | Eileen Fernandez | Counselor | 615 W Civic Center Dr Fl 2, Santa Ana, CA 92701 | 2018-06-05 |
| Find all providers in zip 92701 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265824577 | Florencio Ching | Ophthalmology | 2101 Vista Privada, Santa Ana, CA 92705-3155 | 2015-02-23 |
| 1649539404 | Esther Lee Kim | Ophthalmology | 1200 N Tustin Ave Ste 140, Santa Ana, CA 92705-3592 | 2012-05-14 |
| 1114105384 | Retina Associates of Orange County | Ophthalmology | 2010 E First St, Suite 140, Santa Ana, CA 92705-8644 | 2008-02-09 |
| 1992742613 | Timothy C Huang | Ophthalmology | 801 N Tustin Ave Ste 500, Santa Ana, CA 92705-3609 | 2006-06-01 |
| 1881690634 | Desmond Edward Mcguire | Ophthalmology | 1401 N Tustin Ave, Ste 220, Santa Ana, CA 92705-8689 | 2005-06-27 |
| 1427051994 | Sanford Chen | Ophthalmology | 1200 N Tustin Ave, Ste 140, Santa Ana, CA 92705-3501 | 2005-05-27 |
| 1528421310 | Carelink Inc | Ophthalmology | 801 N Tustin Ave, Suite 404, Santa Ana, CA 92705-3612 | 2016-03-30 |
| 1679865257 | Elizabeth Yang | Ophthalmology | 3401 S Harbor Blvd, Santa Ana, CA 92704-7933 | 2011-05-13 |
| 1346475217 | Retina Associates of Orange County | Ophthalmology | 2010 E 1st St, 140, Santa Ana, CA 92705-4079 | 2009-05-21 |
| 1912132887 | Desmond E. Mcguire, M.d. Inc. | Ophthalmology | 2010 E 1st St, Suite 140, Santa Ana, CA 92705-4079 | 2009-05-21 |
| Find all providers in SANTA ANA | ||||
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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.