TRILOGY EYE MEDICAL GROUP, INC. (NPI# 1164977336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164977336 |
| Entity Type | Organization |
| Organization Name | TRILOGY EYE MEDICAL GROUP, INC. |
| Other Organization Name | ACUITY EYE SPECIALISTS |
| Practice Address |
1801 E Tahquitz Canyon Way Ste 200 Palm Springs CA 92262-7123 |
| Mailing Address |
100 E California Blvd Pasadena CA 91105-3205 |
| Practice Telephone | 7603272700 |
| Practice Fax Number | 7603272799 |
| Mailing Telephone | (888) 884-3805 |
| Mailing Fax Number | 6267967657 |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2017-09-12 |
| 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 | |
| N | 207W00000X | Ophthalmology | CA | Allopathic & Osteopathic Physicians | |
| Y | 174400000X | Specialist | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MCR(S) | FQ161A | 01 |
| CA | 1114205432 | 05 | |
| CA | MCR(N) | FQ161B | 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 |
| 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 |
| 1316482862 | Trilogy Eye Medical Group, Inc. | Optometrist | 58471 29 Palms Hwy, # 203, Yucca Valley, CA 92284-5818 | 2016-12-19 |
| Street Address |
1801 E TAHQUITZ CANYON WAY STE 200 |
| City | PALM SPRINGS |
| State | CA |
| Zip Code | 92262-7123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578171898 | Janelle Gallardo | Optometrist | 1801 E Tahquitz Canyon Way Ste 200, Palm Springs, CA 92262-7123 | 2020-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815610 | Dhara H Patel | Student in an Organized Health Care Education/Training Program | Gme Office, 1150 N. Palm Canyon Dr., Palm Springs, CA 92262 | 2020-06-08 |
| 1528683380 | Lizmar Cerezo Perez | Student in an Organized Health Care Education/Training Program | Gme Office 1150 N. Palm Canyon Dr. Palm Springs, Ca 922, Palm Springs, CA 92262 | 2020-06-08 |
| 1629637285 | Kimiko Tsuchiya | Family Medicine | 1150 North Palm Canyon Drive, Palm Springs, CA 92262 | 2019-06-07 |
| 1780240978 | Aly Sue Vancil | Counselor | 19531 Mclane St Suite B, Palm Springs, CA 92262 | 2019-05-14 |
| 1013477843 | Dennis Michael Woo | Student in an Organized Health Care Education/Training Program | 555 E. Tachevah Dr, Suite 2e - 204, Palm Springs, CA 92262 | 2019-03-19 |
| 1235609314 | Leslie Nohemi Vargas | Behavior Technician | 130 Golden Sands Dr, Palm Springs, CA 92262 | 2018-11-30 |
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1285123133 | Thuan Thi Nguyen | Social Worker | 1751 North Sunrise Way Suite G, Palm Springs, CA 92262 | 2018-05-07 |
| 1598268641 | Scotti Barnes Cassidy | Social Worker | 291 E Mel Ave Unit 261, Palm Springs, CA 92262 | 2018-03-15 |
| 1326577727 | William Alan Lee | Emergency Medicine | 1150 North Indian Canyon Drive, Palm Springs, CA 92262 | 2017-06-08 |
| Find all providers in zip 92262 | ||||
| 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 |
|---|---|---|---|---|
| 1952870081 | Anielka Avila Zaldivar | Specialist | 3840 7th Ave N, Palm Springs, FL 33461-2826 | 2018-11-19 |
| 1902251259 | Michael Hyman | Specialist | 839 N Camino Condor, Palm Springs, CA 92262-5924 | 2016-04-24 |
| 1285060087 | Alaina Sandra Dunstan | Specialist | 220 Henthorne Dr Apt B16, Palm Springs, FL 33461-2038 | 2013-09-25 |
| 1730438482 | Guy T Burrows, Md LLC | Specialist | 1090 N Palm Canyon Dr, Suite E, Palm Springs, CA 92262-4439 | 2012-09-07 |
| 1114272382 | Ronald (nmn) Laporta | Specialist | 1065 E Via Altamira, Palm Springs, CA 92262-6117 | 2012-07-13 |
| 1447510458 | Charles John Supple | Specialist | 1349 Trofeo Cir, Palm Springs, CA 92262-5369 | 2012-05-23 |
| 1962700260 | Rancho Mirage Fertility Medical Clinic | Specialist | 1199 N. Indian Canyon Drive, Suite A, Palm Springs, CA 92262-5516 | 2011-03-10 |
| 1710115217 | Alice I Daniels | Specialist | 3940 E Mesquite Ave, Palm Springs, CA 92264-3432 | 2009-06-23 |
| 1508093220 | Jane Di Angelo Pardy | Specialist | 515 N Palm Canyon Dr, Suite 514, # 1, Palm Springs, CA 92262-5543 | 2009-06-20 |
| 1174795959 | Aijaz Hashmi, M.d. Inc. | Specialist | 555 E. Tachevah Dr., 1e-105, Palm Springs, CA 92262 | 2008-04-01 |
| Find all providers in PALM SPRINGS | ||||
| City | PALM SPRINGS |
| Zip Code | 92262 |
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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.