CALIFORNIA RETINA CONSULTANTS (NPI# 1265575591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265575591 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA RETINA CONSULTANTS |
| Practice Address |
1510 E Main St Suite 103 Santa Maria CA 93454-4825 |
| Mailing Address |
525 E Micheltorena St Suite A Santa Barbara CA 93103-2254 |
| Practice Telephone | 8059222068 |
| Mailing Telephone | 8059631648 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2017-02-03 |
| 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 | GR0091151 | 05 | |
| CA | BLUE SHIELD GROUP # | ZZZ60752Z | 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 |
| 1225171564 | California Retina Consultants | Specialist | 23501 Cinema Dr, Suite 109, Valencia, CA 91355-5428 | 2007-02-15 |
| Street Address |
1510 E MAIN ST SUITE 103 |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93454-4825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457330797 | Jethro Trees Ritter | Internal Medicine | 1510 E Main St, Suite 104, Santa Maria, CA 93454-4825 | 2006-01-13 |
| 1447793211 | Mary Katherine Llarena | Nurse Practitioner | 1510 E Main St, Ste 101, Santa Maria, CA 93454 | 2016-11-29 |
| 1134586720 | Richard Scott | Nurse Practitioner | 1510 E Main St, Suite 104c, Santa Maria, CA 93454-4825 | 2016-01-27 |
| 1447598396 | Keith Dillon, M.d., Inc. | Obstetrics & Gynecology | 1510 E Main St, Ste 104, Santa Maria, CA 93454-4825 | 2013-01-28 |
| 1225307317 | Pacific Central Coast Health Centers | Clinic/Center | 1510 E Main St, Suite 104-c, Santa Maria, CA 93454-4825 | 2011-12-20 |
| 1992092530 | Advanced Women's Health of The Central Coast | Obstetrics & Gynecology | 1510 E Main St, Suite 104, Santa Maria, CA 93454-4825 | 2011-07-04 |
| 1497995401 | Alex Harrison, M.d., Inc. | Internal Medicine | 1510 E Main St, Ste 101, Santa Maria, CA 93454-4826 | 2009-03-03 |
| 1396934188 | Alex T Harrison | Internal Medicine | 1510 E Main St, Suite 101, Santa Maria, CA 93454-4825 | 2007-10-17 |
| 1205029402 | Susan E. Ziemba, M.d., Inc. | Internal Medicine | 1510 E Main St, Ste 104c, Santa Maria, CA 93454-4825 | 2007-08-21 |
| 1295925972 | Samir N Bhatt | Internal Medicine | 1510 E Main St, Ste 101, Santa Maria, CA 93454-4826 | 2007-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164995825 | Virgilia Elizabeth Kennedy | Counselor | 1505 Shepard Drive, Suite 204, Santa Maria, CA 93454 | 2019-01-05 |
| 1891290151 | Philbert Ramirez Pandac | Behavioral Analyst | 1016 East Maint Street, Santa Maria, CA 93454 | 2018-03-28 |
| 1487166120 | Good Samaritan Shelter | Family Medicine | 412 East Tunnell Street, Santa Maria, CA 93454 | 2017-11-03 |
| 1306357892 | Aklilu Joseph | Pharmacist | 1700 S. Bradley Rd, Santa Maria, CA 93454 | 2017-10-24 |
| 1225557267 | Eric Edward Lofstrand | Counselor | 1214 S Miller St Ste 11, Santa Maria, CA 93454 | 2017-09-11 |
| 1881112449 | Tess Wianecki | Physician Assistant | 116 S Palisade Dr Ste 110, Santa Maria, CA 93454 | 2017-09-05 |
| 1730603705 | Cac Alvin Center | Counselor | 316 E Mcelhany Ave, Santa Maria, CA 93454 | 2017-08-01 |
| 1174045009 | Peter A. Statti Md Inc. | Pediatrics | 1414 S. Miller St. #12, Santa Maria, CA 93454 | 2017-07-12 |
| 1982143970 | Child Abuse Listening Mediation | Community/Behavioral Health | 210 E. Enos Dr., Ste. A, Santa Maria, CA 93454 | 2017-02-23 |
| 1821531344 | Maria Isabel Lara | Counselor | 210 E Enos Dr, Santa Maria, CA 93454 | 2016-12-01 |
| Find all providers in zip 93454 | ||||
| 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 |
|---|---|---|---|---|
| 1477963775 | Tami Marie Mayorga | Specialist | 350 E Clark Ave, Santa Maria, CA 93455-5355 | 2014-05-07 |
| 1700157641 | Emergency Physicians Industrial Medical Associates, Inc. | Specialist | 3070 Skyway Dr, Suite 106, Santa Maria, CA 93455-1829 | 2012-01-24 |
| 1083878854 | Coastal Hand & Occupational Therapy | Specialist | 201 North College Dr, Suite 203, Santa Maria, CA 93454 | 2008-07-11 |
| 1336335538 | Ram K Setty, Md Inc | Specialist | 206 S Stratford Ave Ste A, Santa Maria, CA 93454-5901 | 2007-09-20 |
| 1982895132 | Albert W Hawkins Md Inc | Specialist | 1300 E Cypress, G1, Santa Maria, CA 93454 | 2007-08-05 |
| 1235283565 | Henry Ang Young | Specialist | 1505 Shepard Dr Ste 102, Santa Maria, CA 93454-7016 | 2007-01-23 |
| 1396817326 | Lisa Alvarez | Specialist | 124 Carmen Ln Ste Y, Santa Maria, CA 93458-7768 | 2006-11-14 |
| 1740388479 | Donald Rommes | Specialist | 1400 Church St., Marian Medical Center, Santa Maria, CA 93454 | 2006-09-20 |
| 1619906872 | Bhanji D. Kundaria | Specialist | 1505 Shepard Dr Ste 106, Santa Maria, CA 93454-7016 | 2006-07-01 |
| 1396780623 | Bruce A Ourieff | Specialist | 821 E Chapel St Ste 201, Santa Maria, CA 93454-4619 | 2006-06-19 |
| Find all providers in SANTA MARIA | ||||
| City | SANTA MARIA |
| Zip Code | 93454 |
Please comment or provide details below to improve the information on CALIFORNIA RETINA CONSULTANTS.
| 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.