TRILOGY EYE MEDICAL GROUP, INC. (NPI# 1043665615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043665615 |
| Entity Type | Organization |
| Organization Name | TRILOGY EYE MEDICAL GROUP, INC. |
| Practice Address |
1640 Newport Blvd 220 Costa Mesa CA 92627-3786 |
| Mailing Address |
100 E California Blvd Pasadena CA 91105-3205 |
| Practice Telephone | 9498735046 |
| Practice Fax Number | 9498735394 |
| Mailing Telephone | 8888843805 |
| Mailing Fax Number | 6267967657 |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-07-16 |
| 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 | Eye and Vision Services Providers | ||
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1114205432 | 05 |
| 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 |
| 1831634815 | Trilogy Eye Medical Group, Inc. | Optometrist | 8616 La Tijera Blvd, Ste 102, Los Angeles, CA 90045-3944 | 2016-12-29 |
| Street Address |
1640 NEWPORT BLVD 220 |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92627-3786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437152998 | Swati R. Gandhi | Pediatrics | 1640 Newport Blvd, Costa Mesa, CA 92627-3786 | 2005-05-27 |
| 1134628704 | Scott Andrew Carlton | Chiropractor | 1640 Newport Blvd, Ste 440, Costa Mesa, CA 92627-3786 | 2018-02-08 |
| 1407392145 | Uc Irvine Cancer Center - Newport | Clinic/Center | 1640 Newport Blvd, Suite 450, Costa Mesa, CA 92627-3786 | 2017-01-18 |
| 1770027518 | Uc Irvine Health Cancer Center- Newport | Clinic/Center | 1640 Newport Blvd, Suite 450, Costa Mesa, CA 92627-3786 | 2016-12-13 |
| 1861936601 | Pacific Cddc | Clinic/Center | 1640 Newport Blvd, Suite 350, Costa Mesa, CA 92627-3786 | 2016-12-13 |
| 1952845794 | Pacific Cddc | Clinic/Center | 1640 Newport Blvd, Suite 350, Costa Mesa, CA 92627-3786 | 2016-12-13 |
| 1942654439 | Uc Irvine Health Dermatology Services | Clinic/Center | 1640 Newport Blvd, Suite 240, Costa Mesa, CA 92627-3786 | 2016-04-20 |
| 1801257803 | Pacific Surgery Center | Clinic/Center | 1640 Newport Blvd, Suite 100, Costa Mesa, CA 92627-3786 | 2016-03-18 |
| 1124402284 | Pacific Cddc | Clinic/Center | 1640 Newport Blvd, Suite 350, Costa Mesa, CA 92627-3786 | 2015-07-17 |
| 1336521228 | Pacific Breast Care Center | Clinic/Center | 1640 Newport Blvd, Suite 200, Costa Mesa, CA 92627-3786 | 2015-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407174 | Ryan Allen Merrell | Technician | 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 | 2020-11-04 |
| 1245703412 | Allure Transportation | Non-emergency Medical Transport (VAN) | 1835 Newport Blvd Ste 109 #110, Costa Mesa, CA 92627 | 2019-01-09 |
| 1750857686 | Living Success Center | Marriage & Family Therapist | 445 E. 17th Street, Suites D & E, Costa Mesa, CA 92627 | 2018-10-18 |
| 1790298909 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-a University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1679086862 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-b University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1245759018 | Surgical Assistant Associates | Clinic/Center | 186 E. 16th Street, Suite C, Costa Mesa, CA 92627 | 2017-09-13 |
| 1366962334 | Guadalupe A. Mejia Dental Corp. | Dentist | 700 W 19th St., Suite C, Costa Mesa, CA 92627 | 2017-06-21 |
| 1386189033 | Jian Yi Ye | Acupuncturist | 2488 Newport Blvd Ste B1, Costa Mesa, CA 92627 | 2017-01-04 |
| 1144764606 | Michele Marie Patton | Dental Hygienist | 2220 Fairview Rd., Costa Mesa, CA 92627 | 2016-12-18 |
| 1881148500 | Valerie Nguyen | Pharmacist | 1835 Newport Blvd # C, Costa Mesa, CA 92627 | 2016-08-10 |
| Find all providers in zip 92627 | ||||
| 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 |
|---|---|---|---|---|
| 1649755406 | Ashlee Cullen | Specialist | 1565 Adams Ave Ste 138, Costa Mesa, CA 92626-3814 | 2018-09-27 |
| 1124498902 | Theresa Anne Marie Sniadowski | Specialist | 245 Fischer Ave Ste A2, Costa Mesa, CA 92626-4536 | 2015-10-06 |
| 1538565072 | Multimedrx | Specialist | 1503 S Coast Dr Ste 100, Costa Mesa, CA 92626-1526 | 2014-11-11 |
| 1134540388 | George Sumiya Nakai | Specialist | 2784 Bluebird Cir, Costa Mesa, CA 92626-4832 | 2013-12-13 |
| 1538355912 | On Center Conditioning Body, Arts, and Sciences | Specialist | 485 E 17th St Ste 650, Costa Mesa, CA 92627-4706 | 2007-09-19 |
| 1972722932 | Rose Eye Medical | Specialist | 3420 Bristol St, Suite 700, Costa Mesa, CA 92626-7170 | 2007-04-25 |
| 1851448757 | Mothers and Daughters Center, Inc. | Specialist | 720 Paularino Avenue, Suite 240, Costa Mesa, CA 92626-6290 | 2007-01-04 |
| 1508947243 | Scott Stewart Ferer | Specialist | 2216 Newport Blvd, Costa Mesa, CA 92627-1711 | 2006-10-18 |
| 1356430482 | Ortho Shock Wave Therapy, Inc. | Specialist | 3636 Harbor Blvd, H2, Costa Mesa, CA 92626 | 2006-10-12 |
| 1669418794 | Carlos Xavier Montano | Specialist | 1545 Nutmeg Place, Costa Mesa, CA 92626-2525 | 2006-06-20 |
| Find all providers in COSTA MESA | ||||
| City | COSTA MESA |
| Zip Code | 92627 |
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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.