CALIFORNIA RETINA CONSULTANTS (NPI# 1225171564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225171564 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA RETINA CONSULTANTS |
| Practice Address |
23501 Cinema Dr Suite 109 Valencia CA 91355-5428 |
| Mailing Address |
525 E Micheltorena St Suite A Santa Barbara CA 93103-2254 |
| Practice Telephone | 6612532939 |
| Practice Fax Number | 6612530643 |
| Mailing Telephone | 8059631648 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2017-04-07 |
| Authorized Official Name | ROBERT L AVERY (CEO) |
| Authorized Official Telephone | 8059631648 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0091153 | 05 | |
| CA | BLUE SHIELD GROUP # | ZZZ08204Z | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750641775 | California Retina Consultants | Specialist | 5404 W Cypress Ave, Suite 101, Visalia, CA 93277-8342 | 2012-05-23 |
| 1891086294 | California Retina Consultants | Specialist | 104 Gateway Center Dr, Ste B, Paso Robles, CA 93446-3752 | 2011-04-20 |
| 1144405309 | California Retina Consultants | Specialist | 835 Aerovista Pl, Suite 110, San Luis Obispo, CA 93401-8740 | 2008-01-07 |
| 1013050343 | California Retina Consultants | Specialist | 2901 N Ventura Rd, Suite 250, Oxnard, CA 93036-1150 | 2007-02-15 |
| 1083757322 | California Retina Consultants | Specialist | 5555 Business Park S, Suite 100, Bakersfield, CA 93309-1677 | 2007-02-15 |
| 1386737617 | California Retina Consultants | Specialist | 525 E Micheltorena St, Suite A, Santa Barbara, CA 93103-2254 | 2006-09-30 |
| 1134399462 | California Retina Consultants | Specialist | 1050 Las Tablas Rd, Suite C, Templeton, CA 93465-9729 | 2008-03-03 |
| 1194868398 | California Retina Consultants | Specialist | 38660 Medical Center Dr, Suite A350, Palmdale, CA 93551-4385 | 2007-02-15 |
| 1265575591 | California Retina Consultants | Specialist | 1510 E Main St, Suite 103, Santa Maria, CA 93454-4825 | 2007-02-15 |
| Street Address |
23501 CINEMA DR SUITE 109 |
| City | VALENCIA |
| State | CA |
| Zip Code | 91355-5428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154385599 | Paul Bong | Psychiatry & Neurology | 23501 Cinema Dr, Suite 200, Valencia, CA 91355-5428 | 2006-04-13 |
| 1093167819 | Jacquelyn Diaz | Case Manager/Care Coordinator | 23501 Cinema Dr, Valencia, CA 91355-5428 | 2016-07-05 |
| 1871928036 | Christina Michelle Cummings | Student in an Organized Health Care Education/Training Program | 23501 Cinema Dr, Ste. 210, Valencia, CA 91355-5428 | 2013-09-06 |
| 1851726145 | Daniel Kaushansky | Psychologist | 23501 Cinema Dr, Suite 210, Valencia, CA 91355-5428 | 2013-09-05 |
| 1447683164 | Tracy Norelle Hartstone Caltabiano | Social Worker | 23501 Cinema Dr, Suite 210, Valencia, CA 91355-5428 | 2013-08-16 |
| 1073956579 | Danit Bar Ziv | Psychiatry & Neurology | 23501 Cinema Dr, Suite 200, Valencia, CA 91355-5428 | 2013-04-15 |
| 1891034450 | Alondra James | Social Worker | 23501 Cinema Dr, Ste 210, Valencia, CA 91355-5428 | 2013-02-01 |
| 1447512025 | Tye Shia Claibourn | Licensed Psychiatric Technician | 23501 Cinema Dr, Valencia, CA 91355-5428 | 2012-06-11 |
| 1376817858 | Neil Kaminsky | Social Worker | 23501 Cinema Dr, Suite 200, Valencia, CA 91355-5428 | 2012-03-01 |
| 1598037418 | Santa Clarita Valley Mental Health Center | Community/Behavioral Health | 23501 Cinema Dr, Suite 210, Valencia, CA 91355-5428 | 2012-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447874730 | Deborah Colleen Rheinfurth | Registered Nurse | 25727 Mcbean Parkway, Valencia, CA 91355 | 2020-06-02 |
| 1396368106 | Carla Patricia Ponce | Behavior Technician | 25115 W, Avenue Stanford Suite A100, Santa Clarita, CA 91355 | 2020-05-27 |
| 1578197661 | Kathleen Megan Murphy Cross | Counselor | 24307 Magic Mountain Pkwy, #260, Valencia, CA 91355 | 2020-02-27 |
| 1780226340 | Logan Veis | Behavior Technician | 25515 Avenue Stanford, Suite A100, Valencia, CA 91355 | 2019-10-15 |
| 1376192906 | Yosef Desta | Behavior Technician | 25115 Ave Standard, Suit A100, Valencia, CA 91355 | 2019-09-06 |
| 1063060960 | Michauni Kimbrew | Behavioral Analyst | 27502 Ave Scott, Ste A, Santa Clarita, CA 91355 | 2019-09-04 |
| 1427607357 | Alissa Meadow Myatt | Social Worker | Henry Mayo Newhall Hospital 23845 Mcbean Parkway, Valencia, CA 91355 | 2019-09-04 |
| 1124672761 | Genon Catarroja | Behavior Technician | 25115 W. Avenue Stanford Suite A100, Valencia, CA 91355 | 2019-08-01 |
| 1730675455 | Jaquelyn Marlene Escobar | Community Health Worker | 24525 Town Center Drive, Valencia, CA 91355 | 2018-07-05 |
| 1265922843 | Jomil Prenzirose Conste | Behavior Technician | 25115 Avenue M14 Suite A, Valencia, CA 91355 | 2018-05-18 |
| Find all providers in zip 91355 | ||||
| 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 |
|---|---|---|---|---|
| 1396279105 | Suttirak Chaiwongkarjohn, Inc. | Specialist | 24123 Del Monte Dr Unit 95, Valencia, CA 91355-3819 | 2017-04-18 |
| 1407166804 | Gilbert Herman Isaacs | Specialist | 701 Independence Ct, Valencia, PA 16059-1539 | 2010-10-19 |
| 1093838369 | Mid-valley Orthopedic Specialist | Specialist | 23734 Valencia Blvd Ste 203, Valencia, CA 91355-5362 | 2007-04-09 |
| 1780751081 | Santa Clarita Ear Nose and Throat Medical Associates Inc | Specialist | 27879 Smyth Drrive, Valencia, CA 91355-4011 | 2006-11-29 |
| 1629088661 | Louie-marc Contreras | Specialist | 25775 Mcbean Pkwy Ste 216, Valencia, CA 91355-3703 | 2006-08-09 |
| 1447274972 | Hrair E Darakjian | Specialist | 23734 Valencia Blvd, #203, Valencia, CA 91355-2100 | 2006-07-27 |
| 1144204249 | May Lin Tao | Specialist | 25751 Mcbean Pkwy Ste 110, Valencia, CA 91355-3701 | 2005-12-01 |
| 1922553585 | Elisabeth Schramm | Specialist | 28093 Smyth Dr, Valencia, CA 91355-4023 | 2016-08-23 |
| 1962855155 | Yuvraj Grewal Md Inc, A Medical Corporation | Specialist | 23861 Mcbean Pkwy Ste A4, Valencia, CA 91355-2003 | 2016-07-22 |
| 1700246782 | Cassandra Gabler | Specialist | 25350 Magic Mountain Pkwy Ste 300, Valencia, CA 91355-1356 | 2016-03-03 |
| Find all providers in VALENCIA | ||||
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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.