TRILOGY EYE MEDICAL GROUP, INC. (NPI# 1831634815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831634815 |
| Entity Type | Organization |
| Organization Name | TRILOGY EYE MEDICAL GROUP, INC. |
| Other Organization Name | ACUITY EYE SPECIALISTS |
| Practice Address |
8616 La Tijera Blvd Ste 102 Los Angeles CA 90045-3944 |
| Mailing Address |
100 E California Blvd Pasadena CA 91105-3205 |
| Practice Telephone | 3106732020 |
| Practice Fax Number | 3106495290 |
| Mailing Telephone | 6265688838 |
| Mailing Fax Number | 6265747188 |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2016-12-29 |
| Authorized Official Name | DR. TOM S. CHANG (FOUNDER) |
| Authorized Official Telephone | 6265688838 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | CA | Eye and Vision Services Providers | |
| Y | 174400000X | Specialist | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GROUP NPI | 1114205432 | 01 |
| Other Name | Type Code |
|---|---|
| Acuity Eye Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821507435 | Trilogy Eye Medical Group, Inc. | Optometrist | 1620 Alpine Blvd Ste 117, Alpine, CA 91901-1103 | 2017-09-26 |
| 1578072187 | Trilogy Eye Medical Group, Inc. | Optometrist | 2240 E Plaza Blvd Ste F&g, National City, CA 91950-5164 | 2017-09-26 |
| 1164977336 | Trilogy Eye Medical Group, Inc. | Optometrist | 1801 E Tahquitz Canyon Way Ste 200, Palm Springs, CA 92262-7123 | 2016-08-17 |
| 1457744625 | Trilogy Eye Medical Group, Inc. | Optometrist | 5565 Grossmont Center Dr # 2-3, La Mesa, CA 91942-3020 | 2015-03-12 |
| 1366850471 | Trilogy Eye Medical Group, Inc. | Optometrist | 4413 La Jolla Village Dr Ste P-1, San Diego, CA 92122-1264 | 2014-08-01 |
| 1851856793 | Trilogy Eye Medical Group, Inc. | Ophthalmology | 73180 El Paseo, Palm Desert, CA 92260-4218 | 2019-02-05 |
| 1568971174 | Trilogy Eye Medical Group, Inc. | Optometrist | 830 W Valley Pkwy, Escondido, CA 92025-2529 | 2017-09-26 |
| 1033628649 | Trilogy Eye Medical Group, Inc. | Optometrist | 450 Fletcher Pkwy Ste 112, El Cajon, CA 92020-2520 | 2017-09-26 |
| 1154862647 | Trilogy Eye Medical Group, Inc. | Specialist | 47474 Washington St, La Quinta, CA 92253-8846 | 2017-03-16 |
| 1316482862 | Trilogy Eye Medical Group, Inc. | Optometrist | 58471 29 Palms Hwy, # 203, Yucca Valley, CA 92284-5818 | 2016-12-19 |
| Street Address |
8616 LA TIJERA BLVD STE 102 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90045-3944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124023494 | Five Star Home Health, Inc. | Home Health | 8616 La Tijera Blvd, Suite 408, Los Angeles, CA 90045-3944 | 2005-06-14 |
| 1063987337 | Drago Charles Baric | Community Health Worker | 8616 La Tijera Blvd, Los Angeles, CA 90045-3944 | 2018-10-12 |
| 1487140653 | Lizeth Villegas | Rehabilitation Practitioner | 8616 La Tijera Blvd, Los Angeles, CA 90045-3944 | 2018-07-10 |
| 1083149520 | Tina Gail Hansen Phillips | Marriage & Family Therapist | 8616 La Tijera Blvd, 200, Los Angeles, CA 90045-3944 | 2017-04-21 |
| 1750749784 | 8616 Group, LLC | Marriage & Family Therapist | 8616 La Tijera Blvd, Suite 404, Los Angeles, CA 90045-3944 | 2016-02-04 |
| 1316318116 | Rene Erazo Jr. | Counselor | 8616 La Tijera Blvd, Los Angeles, CA 90045 | 2015-10-19 |
| 1033586698 | Life Uncommon, LLC | Clinic/Center | 8616 La Tijera Blvd, Suite 404, Los Angeles, CA 90045-3944 | 2015-08-29 |
| 1346633401 | Retina Institute of California Medical Group | Optometrist | 8616 La Tijera Blvd, 102, Los Angeles, CA 90045-3944 | 2015-03-13 |
| 1679974885 | Aya Tateishi | Counselor | 8616 La Tijera Blvd, Suite 200, Los Angeles, CA 90045-3944 | 2014-09-07 |
| 1942619978 | Janette Rodriguez | Rehabilitation Practitioner | 8616 La Tijera Blvd, Los Angeles, CA 90045-3944 | 2014-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396388849 | Laska Dental Inc | Dentist | 5602 W Manchester Ave, Los Angeles, CA 90045 | 2019-10-28 |
| 1245889179 | Ana Arias | Physical Therapist | 6801 Terrace Drive, Suite 200, Los Angeles, CA 90045 | 2019-09-04 |
| 1144719410 | Family Dental Care 4 You | Dentist | 5602 W. Manchester Ave, Los Angeles, CA 90045 | 2018-05-02 |
| 1821504002 | Rhonda Taylor | Counselor | 8703 La Tijera Blvd Ste 201, Los Angeles, CA 90045 | 2017-12-24 |
| 1114436839 | Blanca Melisa Gomez I | Case Manager/Care Coordinator | 7423 1/4 S Sepulveda Blvd, Los Angeles, CA 90045 | 2017-09-26 |
| 1639688831 | Kalila Magbanua-stein | Counselor | 8618 La Tijera Blvd., Suite 200, Los Angeles, CA 90045 | 2017-09-20 |
| 1568984185 | Angela Mull | Marriage & Family Therapist | 8616 Latijera Blvd, Suite 307, Los Angeles, CA 90045 | 2017-07-14 |
| 1386171585 | Patricia Ann Bridewell | Registered Nurse | 5245 Concourse Drive, Suite 100, Los Angeles, CA 90045 | 2017-05-18 |
| 1679937627 | Thelese Consulting Group | Community/Behavioral Health | 8929 S. Sepulveda Blvd, Suite 400, Los Angeles, CA 90045 | 2016-04-06 |
| 1568823318 | Keith Romalis Ellison | Specialist/Technologist | One Lmu Drive, Gersten Pavilion - Athletic Training Room, Los Angeles, CA 90045 | 2016-03-08 |
| Find all providers in zip 90045 | ||||
| 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 |
|---|---|---|---|---|
| 1255801098 | Maria Elizabeth Botham | Specialist | 8250 W 3rd St Ste 203, Los Angeles, CA 90048-4327 | 2018-12-04 |
| 1154899821 | Adam Garcia-morales | Specialist | 216 S Townsend Ave, Los Angeles, CA 90063-2439 | 2018-11-11 |
| 1174028930 | Sabrena Anne Smith | Specialist | 1680 Vine St Ste 908, Los Angeles, CA 90028-8838 | 2018-03-26 |
| 1538663513 | John Horton | Specialist | 760 Westwood Plaza, Resident Office, Los Angeles, CA 90024 | 2018-03-22 |
| 1598272262 | Ronna Lynne Pearl | Specialist | 3371 Glendale Blvd Ste 215, Los Angeles, CA 90039-1857 | 2018-01-04 |
| 1245754431 | Marla Ellen Mintz | Specialist | 11844 W Pico Blvd Ste 200, Los Angeles, CA 90064-1353 | 2017-07-28 |
| 1730619818 | Emily Ng | Specialist | 8590 W Pico Blvd, Los Angeles, CA 90035-2691 | 2017-06-12 |
| 1871044297 | Katherinne Aucaruri | Specialist | 4225 Blanchard St, Los Angeles, CA 90063-1317 | 2016-10-20 |
| 1720536923 | Jkc Neurology Medical Group Inc | Specialist | 3550 Wilshire Blvd Ste 650, Los Angeles, CA 90010-2440 | 2016-09-15 |
| 1932552916 | Anthony Jose Salvatierra | Specialist | 421 S Manhattan Pl Apt 9, Los Angeles, CA 90020-4175 | 2016-07-14 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90045 |
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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.