TRILOGY EYE MEDICAL GROUP, INC. (NPI# 1205229382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205229382 |
| Entity Type | Organization |
| Organization Name | TRILOGY EYE MEDICAL GROUP, INC. |
| Other Organization Name | CALIFORNIA EYE AND EAR SPECIALISTS |
| Practice Address |
14642 Newport Ave Suite 210 Tustin CA 92780-6057 |
| Mailing Address |
100 E California Blvd Pasadena CA 91105-3205 |
| Practice Telephone | 7148843957 |
| Practice Fax Number | 7148843458 |
| Mailing Telephone | 6265688838 |
| Mailing Fax Number | 6265747188 |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2017-09-18 |
| 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 | A69909 | CA | Eye and Vision Services Providers |
| N | 207W00000X | Ophthalmology | CA | Allopathic & Osteopathic Physicians | |
| Y | 174400000X | Specialist | A69909 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MCR(N) | FQ161B | 01 |
| CA | 1114205432 | 05 | |
| CA | MCR(S) | FQ161A | 01 |
| Other Name | Type Code |
|---|---|
| ACUITY EYE SPECIALISTS | Doing Business As Name - Organization |
| California Eye and Ear 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 |
| 1831634815 | Trilogy Eye Medical Group, Inc. | Optometrist | 8616 La Tijera Blvd, Ste 102, Los Angeles, CA 90045-3944 | 2016-12-29 |
| Street Address |
14642 NEWPORT AVE SUITE 210 |
| City | TUSTIN |
| State | CA |
| Zip Code | 92780-6057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174594386 | Los Angeles Radiation Oncology Medical Associates | Radiology | 14642 Newport Ave, #470, Tustin, CA 92780-6057 | 2006-01-27 |
| 1619443835 | Fareed Entezar | Pharmacist | 14642 Newport Ave, Tustin, CA 92780-6057 | 2018-10-15 |
| 1629500665 | Integrity Healthcare Providers, PC | Family Medicine | 14642 Newport Ave, Suite 270, Tustin, CA 92780-6057 | 2017-03-29 |
| 1033662101 | Tariq Ali Khan Md | Internal Medicine | 14642 Newport Ave, Suite 408, Tustin, CA 92780-6057 | 2016-07-25 |
| 1558740753 | Medical Exam Assoicates | Chiropractor | 14642 Newport Ave, #407, Tustin, CA 92780-6057 | 2015-05-21 |
| 1003174368 | Charles Minh | Anesthesiology | 14642 Newport Ave, Suite #100, Tustin, CA 92780-6057 | 2012-04-24 |
| 1851684237 | Sharron Krueger | Nurse Practitioner | 14642 Newport Ave, Suite 200, Tustin, CA 92780-6057 | 2011-05-18 |
| 1588981120 | Smith-burke Podiatry | Podiatrist | 14642 Newport Ave, Suite 105, Tustin, CA 92780-6057 | 2010-04-21 |
| 1427281666 | Stephen William Doggett, M.d. Pa | Radiology | 14642 Newport Ave, Tustin, CA 92780-6057 | 2009-09-03 |
| 1114153582 | Vir, Inc. | Specialist | 14642 Newport Ave, Suite 410, Tustin, CA 92780-6057 | 2009-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
| 1609426881 | Abigail Joy Maqsood | Behavior Technician | 290a S Prospect Ave, Tustin, CA 92780 | 2019-09-19 |
| 1255814711 | Hyun Dong Lee | Chiropractor | 14591 Newport Ave Ste 106, Tustin, CA 92780 | 2018-09-11 |
| 1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
| 1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
| 1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
| 1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
| 1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
| 1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
| 1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
| Find all providers in zip 92780 | ||||
| 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 |
|---|---|---|---|---|
| 1093173221 | Jolina Lyn Manchester | Specialist | 2800 Keller Dr, Apt. 234, Tustin, CA 92782-1065 | 2016-02-02 |
| 1689093312 | Pia Rotman | Specialist | 155 El Camino Real, Tustin, CA 92780-3601 | 2014-04-09 |
| 1053745497 | Southern California Psychological | Specialist | 17821 17th St Ste 250, Tustin, CA 92780-2173 | 2013-08-21 |
| 1184825028 | Samireh Z. Said, M.d., Inc. | Specialist | 13422 Newport Ave Ste J, Tustin, CA 92780-3746 | 2007-05-29 |
| 1841386349 | Roger Kornu | Specialist | 12791 Newport Ave Ste 208, Tustin, CA 92780 | 2006-10-04 |
| 1841397700 | Rose Marie Angella Pitt | Specialist | 14181 Yorba St Ste 110, Tustin, CA 92780-2054 | 2006-09-20 |
| 1447283437 | My Way Management Services, LLC | Specialist | 2913 El Camino Real # 344, Tustin, CA 92782-8909 | 2006-07-10 |
| 1336129998 | Samireh Z Said | Specialist | 13422 Newport Avenue, Suite J, Tustin, CA 92780 | 2006-01-19 |
| 1780689042 | Charles Kyumin Oh | Specialist | 2552 Walnut Ave, Suite 130, Tustin, CA 92780-6935 | 2005-06-14 |
| 1518960418 | Ramon E Perez | Specialist | 17602 17th St, # 102-154, Tustin, CA 92780-1961 | 2005-05-24 |
| Find all providers in TUSTIN | ||||
Please comment or provide details below to improve the information on TRILOGY EYE MEDICAL GROUP, INC..
| 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.