| De La Pena Eye Clinic, A Medical Group, Inc | |
|
139 S Alvarado St, Los Angeles, CA 90057 | |
| (213) 484-0170 | |
| (213) 484-0246 |
| Full Name | De La Pena Eye Clinic, A Medical Group, Inc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 139 S Alvarado St, Los Angeles, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306850250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Albert Sheffer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992738603 PECOS PAC ID: 8921906132 Enrollment ID: I20031226000118 |
| Provider Name | Carlos F Montoya |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063420974 PECOS PAC ID: 0244131449 Enrollment ID: I20040206000249 |
| Provider Name | Ehsan Sadri |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114025780 PECOS PAC ID: 7911979943 Enrollment ID: I20040810001365 |
| Provider Name | Melissa J Mayberry |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477572394 PECOS PAC ID: 0840226189 Enrollment ID: I20050708000776 |
| Provider Name | Charles E Dominguez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063437507 PECOS PAC ID: 6800817875 Enrollment ID: I20051219000329 |
| Provider Name | Alejandra Uchio |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144217191 PECOS PAC ID: 6002838232 Enrollment ID: I20060103000456 |
| Provider Name | Thien Thu P Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568471373 PECOS PAC ID: 1557369725 Enrollment ID: I20061122000236 |
| Provider Name | Eddie M Garcia |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164447678 PECOS PAC ID: 0244317154 Enrollment ID: I20080402000632 |
| Provider Name | Albert De La Pena |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649295114 PECOS PAC ID: 0547169054 Enrollment ID: I20090331000542 |
| Provider Name | William C Delapena |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598784415 PECOS PAC ID: 6406754654 Enrollment ID: I20090615000468 |
| Provider Name | Susan K Ung |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679582225 PECOS PAC ID: 9133272602 Enrollment ID: I20090730000466 |
| Provider Name | Howard D Cooper |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1518057108 PECOS PAC ID: 3971642950 Enrollment ID: I20091204000123 |
| Provider Name | Todd D Mishima |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841215365 PECOS PAC ID: 6002092533 Enrollment ID: I20110518000683 |
| Provider Name | Roberto Roizenblatt |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952564064 PECOS PAC ID: 3577741313 Enrollment ID: I20110628000010 |
| Provider Name | Evelyn M Perez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124101084 PECOS PAC ID: 3274792007 Enrollment ID: I20120313000941 |
| Provider Name | Lynn L Huang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689808438 PECOS PAC ID: 1850561119 Enrollment ID: I20120705000094 |
| Provider Name | Benjamin Mandel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396089678 PECOS PAC ID: 6406082262 Enrollment ID: I20131126001874 |
| Provider Name | Adriana Sanchez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902231194 PECOS PAC ID: 9739315326 Enrollment ID: I20131204002221 |
| Provider Name | Michael Jeremy Savetsky |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1255598819 PECOS PAC ID: 7113199829 Enrollment ID: I20140813001174 |
| Provider Name | Sana Bhakhrani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275846966 PECOS PAC ID: 0244555993 Enrollment ID: I20150220002132 |
| Provider Name | Hamideh S Moayedpardazi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386933240 PECOS PAC ID: 1658685078 Enrollment ID: I20150729009435 |
| Provider Name | Diana Katsman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306003132 PECOS PAC ID: 6608162490 Enrollment ID: I20160902000801 |
| Provider Name | Melody J Kim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487082749 PECOS PAC ID: 2567743537 Enrollment ID: I20170105001313 |
| Provider Name | Darren K Knight |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891181095 PECOS PAC ID: 8224301197 Enrollment ID: I20190802001754 |
| Provider Name | Narine S Azarian |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578046546 PECOS PAC ID: 1153754197 Enrollment ID: I20191205002570 |
| Provider Name | Selene Zamarripa |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285250415 PECOS PAC ID: 4082033659 Enrollment ID: I20200930003263 |
| Provider Name | Victor Andon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811585300 PECOS PAC ID: 9335553544 Enrollment ID: I20210129001944 |
| Provider Name | Murtaza Saifee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225569940 PECOS PAC ID: 2062824709 Enrollment ID: I20210331001625 |
| Provider Name | Jonathan Lee Go |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1902332349 PECOS PAC ID: 9234536541 Enrollment ID: I20210928003298 |
| Provider Name | Nicolas Gabriel Biro |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497959332 PECOS PAC ID: 8820253099 Enrollment ID: I20211005003644 |
| Provider Name | Carolina Ruiz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104404201 PECOS PAC ID: 8628457793 Enrollment ID: I20220620001820 |
| Provider Name | Bao Han Allison Le |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306401096 PECOS PAC ID: 8729319066 Enrollment ID: I20230714000646 |
| Provider Name | Richard B Foulkes |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932312063 PECOS PAC ID: 7214097161 Enrollment ID: I20231011000910 |
| Provider Name | Yhair Desantiago |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417735986 PECOS PAC ID: 6709237613 Enrollment ID: I20240104003015 |
| Provider Name | Anthony M Debeus |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1962474247 PECOS PAC ID: 2961445556 Enrollment ID: I20240420000270 |
| Provider Name | Xuan Cao |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386139673 PECOS PAC ID: 8729481031 Enrollment ID: I20240422001810 |
| Provider Name | Lindsay Y Chun |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063972370 PECOS PAC ID: 3971838582 Enrollment ID: I20240907000312 |
| Mailing Address | Practice Location Address |
|---|---|
| De La Pena Eye Clinic, A Medical Group, Inc 401 Commerce St Ste 600, Nashville, TN 37219-2518 Ph: (615) 345-6900 | De La Pena Eye Clinic, A Medical Group, Inc 139 S Alvarado St, Los Angeles, CA 90057 Ph: (213) 484-0170 |