DE LA PENA EYE CLINIC, A MEDICAL GROUP, INC (NPI# 1952748501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952748501 |
| Entity Type | Organization |
| Organization Name | DE LA PENA EYE CLINIC, A MEDICAL GROUP, INC |
| Other Organization Name | DE LA PENA EYE CLINIC, AMG, INC |
| Practice Address |
7100 Van Nuys Blvd Suite 120 Van Nuys CA 91405-3063 |
| Mailing Address |
401 Commerce St Ste 600 Nashville TN 37219-2518 |
| Practice Telephone | 8189881111 |
| Practice Fax Number | 8189881261 |
| Mailing Telephone | 6153456900 |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2020-02-18 |
| Authorized Official Name | MARK KELLY (MEMBER, BOARD OF MANAGERS) |
| Authorized Official Telephone | 6153456900 |
| 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 |
|---|---|
| De La Pena Eye Clinic, AMG, Inc | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306850250 | De La Pena Eye Clinic, A Medical Group, Inc | Optometrist | 139 S Alvarado St, Los Angeles, CA 90057 | 2006-07-28 |
| 1114540077 | De La Pena Eye Clinic, A Medical Group, Inc | Ophthalmology | 7749 Painter Ave, Whittier, CA 90602-2411 | 2020-05-26 |
| 1447887807 | De La Pena Eye Clinic, A Medical Group, Inc | Ophthalmology | 10942 Ramona Blvd Ste A, El Monte, CA 91731-2644 | 2020-03-25 |
| 1831536481 | De La Pena Eye Clinic, A Medical Group, Inc | Optometrist | 1520 N Grand Ave, Santa Ana, CA 92701-2627 | 2013-05-22 |
| Street Address |
7100 VAN NUYS BLVD SUITE 120 |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91405-3063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215986450 | Tsilya Madorsky | Nurse Practitioner | 7100 Van Nuys Blvd, Suite108, Van Nuys, CA 91405-3063 | 2006-05-06 |
| 1538600564 | Kristen Brianne Rosenthal | Registered Nurse | 7100 Van Nuys Blvd, Suite 108, Van Nuys, CA 91405-3063 | 2017-03-09 |
| 1033657663 | Ludmila Voskoboynik | Registered Nurse | 7100 Van Nuys Blvd, Suite 108, Van Nuys, CA 91405-3063 | 2017-02-02 |
| 1043615990 | Deniece Faith Sarmiento | Nurse Practitioner | 7100 Van Nuys Blvd, Van Nuys, CA 91405-3063 | 2014-11-04 |
| 1134557994 | Helen Hee-sun Chung | Physician Assistant | 7100 Van Nuys Blvd, Suite 115, Van Nuys, CA 91405-3063 | 2013-10-14 |
| 1417216391 | Mary Esther Matheson | Nurse Practitioner | 7100 Van Nuys Blvd, #115, Van Nuys, CA 91405-3063 | 2012-05-11 |
| 1871880500 | Tajav Toomari Do Inc | Clinic/Center | 7100 Van Nuys Blvd, Suite 110, Van Nuys, CA 91405-3063 | 2011-07-01 |
| 1720217698 | Miracle Women's Medical Group Inc | Obstetrics & Gynecology | 7100 Van Nuys Blvd, Suite 113, Van Nuys, CA 91405-3063 | 2009-07-13 |
| 1063697456 | Julie Kang-kim Optometric Corporation | Optometrist | 7100 Van Nuys Blvd, 208, Van Nuys, CA 91405-3063 | 2008-01-03 |
| 1427250950 | Women's Choice Maternity Clinic | Obstetrics & Gynecology | 7100 Van Nuys Blvd, #113, Van Nuys, CA 91405-3063 | 2007-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033955 | Pro-med Hospice Inc | Hospice Care, Community Based | 6621 Van Nuys Blvd, Unit 108, Van Nuys, CA 91405 | 2020-11-08 |
| 1205452174 | Graeme Matthewson | Student in an Organized Health Care Education/Training Program | 6815 Noble Avenue, Van Nuys, CA 91405 | 2020-06-17 |
| 1023671179 | Cory Andrew Kwong | Student in an Organized Health Care Education/Training Program | C/o Lauren Daoust - Southern California Orthopedic Inst, 6815 Noble Avenue, Van Nuys, CA 91405 | 2019-04-15 |
| 1871052878 | Eric Nunez | Behavior Technician | 7226 Sepulveda Boulevard, Van Nuys, CA 91405 | 2019-03-19 |
| 1487113437 | Cindy Antillon | Behavior Technician | 7226 Sepulveda Blvd. Van Nuys, Ca 91405, Van Nuys, CA 91405 | 2019-03-19 |
| 1326507690 | Jordan Elliot Brooks | Behavior Technician | 7226 Sepulveda Blvd., Van Nuys, CA 91405 | 2019-03-17 |
| 1689132110 | Bright Star Home Health Care, Inc. | Home Health | 7141 Wooley Ave, Van Nuys, CA 91405 | 2019-03-04 |
| 1336650498 | Avanti Transportation Services, LLC | Private Vehicle | 7020 Lennox Ave #7, Van Nuys, CA 91405 | 2017-10-17 |
| 1801312434 | Marissa Topete | Rehabilitation Counselor | 14624 Sherman Way, Suite 404, Van Nuys, CA 91405 | 2017-08-15 |
| 1750802468 | Selin Ani Zarmanoglu | Marriage & Family Therapist | 14600 Sherman Way #100d, Van Nuys, CA 91405 | 2017-07-03 |
| Find all providers in zip 91405 | ||||
| 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 |
|---|---|---|---|---|
| 1326378373 | Ira S Latto M D Medical Coporation | Ophthalmology | 6850 Sepulveda Blvd Ste 110, Van Nuys, CA 91405-4465 | 2010-01-13 |
| 1831194398 | Doreen T Fazio | Ophthalmology | 14914 Sherman Way, Van Nuys, CA 91405-2113 | 2005-06-20 |
| 1851595227 | Bernard Monderer, Md, Inc. | Ophthalmology | 15211 Vanowen St, Suite 210, Van Nuys, CA 91405-3606 | 2007-06-12 |
| 1548311053 | Eddy Vu Nguyen | Ophthalmology | 7515 Van Nuys Blvd, Van Nuys, CA 91405-1949 | 2007-01-13 |
| 1255417705 | Ira S Latto | Ophthalmology | 14914 Sherman Way, Van Nuys, CA 91405-2113 | 2006-10-27 |
| 1760495394 | Norman Abraham Wine | Ophthalmology | 6850 Sepulveda Blvd, #110, Van Nuys, CA 91405-4401 | 2006-08-14 |
| 1548289671 | Bernard Monderer | Ophthalmology | 15211 Vanowen St, Suite 210, Van Nuys, CA 91405-3606 | 2006-07-19 |
| 1649211533 | Darin Eye Center A Medical | Ophthalmology | 14914 Sherman Way, Van Nuys, CA 91405-2113 | 2006-06-09 |
| 1912981101 | Bernard Monderer Md | Ophthalmology | 15211 Vanowen St, Ste 210, Van Nuys, CA 91405-3606 | 2005-12-01 |
| 1205832474 | David Milstein | Ophthalmology | 14914 Sherman Way, Van Nuys, CA 91405-2113 | 2005-06-22 |
| Find all providers in VAN NUYS | ||||
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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.