Nikolas J London
RETINA CONSULTANTS SAN DIEGO INC


Address: 12630 Monte Vista Rd, Suite 104, Poway, CA 92064-2526
Phone: 8584511911

Nikolas J London (NPI# 1730418849, PAC ID# 8325162456) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.

Physician Overview

Nation Provider ID (NPI) 1730418849
PAC ID by PECOS 8325162456
Professional Enrollment ID I20120716000481
Full Name Nikolas J London
Organization Legal Name RETINA CONSULTANTS SAN DIEGO INC
Address 12630 Monte Vista Rd
Suite 104
Poway
CA 92064-2526
Phone Number 8584511911
Gender M
Medical School CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2005
Primary Specialty OPHTHALMOLOGY
Group Practice PAC ID 3577538214
Number of Group Practice Members 5
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050324 SCRIPPS MEMORIAL HOSPITAL LA JOLLA

Other Locations

Address Phone Organization
1317 Ynez Pl, Suite A, Coronado, CA 92118-3909 8584511911 RETINA CONSULTANTS SAN DIEGO INC
12630 Monte Vista Rd, Suite 104, Poway, CA 92064-2526 8584511911 RETINA CONSULTANTS SAN DIEGO INC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_014_overall Age-Related Macular Degeneration (AMD): Dilated Macular Examination 100%
MIPS_EC_019_overall Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care 100%
MIPS_EC_117_overall Diabetes: Eye Exam 100%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%
MIPS_EC_140_overall Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement 100%

Organization Information

Organization Legal Name RETINA CONSULTANTS SAN DIEGO INC
Physicians 5

Physicians with the same organization

Name Specialty Organization Address
Atul K Jain Ophthalmology Retina Consultants San Diego Inc 655 Laguna Dr, Carlsbad, CA 92008-1610
Anne M Hanneken Ophthalmology Retina Consultants San Diego Inc 9850 Genesee Ave, Suite 700, La Jolla, CA 92037-1218
Paul E Tornambe Ophthalmology Retina Consultants San Diego Inc 9850 Genesee Ave, Suite 700, La Jolla, CA 92037-1218
Lon S Poliner Ophthalmology Retina Consultants San Diego Inc 9850 Genesee Ave, Suite 700, La Jolla, CA 92037-1218

Office Location

Street Address 12630 MONTE VISTA RD
SUITE 104
City POWAY
State CA
Zip 92064-2526

Physicians in the same location

Name Specialty Organization Address
James F Marino Orthopedic Surgery 12630 Monte Vista Rd, Suite 105, Poway, CA 92064-2526
William Jr W Winternitz Orthopedic Surgery 12630 Monte Vista Rd, Suite 105, Poway, CA 92064-2526
Mary P Hall Physical Therapy 12630 Monte Vista Rd, Suite 101, Poway, CA 92064-2526
Vrijesh S Tantuwaya Neurosurgery 12630 Monte Vista Rd, Suite 105, Poway, CA 92064-2526
Jennifer H Macewan Otolaryngology Ashish K. Wadha Md A Medical Corporation 12630 Monte Vista Rd, Suite 206, Poway, CA 92064-2527
Ashish Wadhwa Otolaryngology Ashish K. Wadha Md A Medical Corporation 12630 Monte Vista Rd, Suite 206, Poway, CA 92064-2527
Stephanie L Slali Qualified Audiologist Ashish K. Wadha Md A Medical Corporation 12630 Monte Vista Rd, Suite 206, Poway, CA 92064-2527

Physicians in the same zip code

Name Specialty Organization Address
Stuart Douglas Klein Internal Medicine North County Internists Medical Corporation 15721 Pomerado Rd, Poway, CA 92064-2021
Akber M Safi Internal Medicine North County Internists Medical Corporation 15721 Pomerado Rd, Poway, CA 92064-2021
Kevin B Merkes Internal Medicine North County Internists Medical Corporation 15721 Pomerado Rd, Poway, CA 92064-2021
Jill Cottel Internal Medicine 15721 Pomerado Rd, Poway, CA 92064-2021
Patrocinia A Magat Family Medicine 15706 Pomerado Rd, Suite 104, Poway, CA 92064-2032
Damon Cobb Obstetrics/gynecology Damon Cobb Do Incorporated 15706 Pomerado Rd, Suite 110, Poway, CA 92064-2032
Farina Islam Obstetrics/gynecology Damon Cobb Do Incorporated 15706 Pomerado Rd, Suite 110, Poway, CA 92064-2032
Randy J Robinson Psychologist, Clinical 15706 Pomerado Rd, Suite 210, Poway, CA 92064-2033
Patti J Dewoskin Clinical Social Worker 15708 Pomerado Rd, Suite 201, Poway, CA 92064-2036
Sam Filiciotto General Surgery 15708 Pomerado Rd, Poway, CA 92064-2036
Find all physicians in zip 92064

Competitor

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City POWAY
Zip Code 92064
Specialty OPHTHALMOLOGY
City + Specialty POWAY + OPHTHALMOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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