De La Pena Eye Clinic, Amg, Inc - Medicare in Los Angeles, CA

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De La Pena Eye Clinic, Amg, Inc is a medicare enrolled "Ophthalmology" provider in Los Angeles, California. Their current practice location is 139 S Alvarado St, Los Angeles, California. You can reach out to their office (for appointments etc.) via phone at (213) 484-0170.

De La Pena Eye Clinic, Amg, Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. De La Pena Eye Clinic, Amg, Inc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1306850250.

Contact Information

De La Pena Eye Clinic, Amg, Inc
139 S Alvarado St,
Los Angeles, CA 90057
(213) 484-0170
(213) 484-0246

Map and Direction




Healthcare Provider's Profile

Full NameDe La Pena Eye Clinic, Amg, Inc
TypeFacility
SpecialityOphthalmology
Location139 S Alvarado St, Los Angeles, California
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306850250
  • Provider Enumeration Date: 07/28/2006
  • Last Update Date: 02/18/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2961300116
  • Enrollment ID: O20031223000882

Medical Identifiers

Medical identifiers for De La Pena Eye Clinic, Amg, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306850250NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
207W00000XOphthalmology (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. De La Pena Eye Clinic, Amg, Inc acts as a billing entity for following providers:
Provider NameAlbert Sheffer
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1992738603
PECOS PAC ID: 8921906132
Enrollment ID: I20031226000118
Provider NameCarlos F Montoya
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1063420974
PECOS PAC ID: 0244131449
Enrollment ID: I20040206000249
Provider NameEhsan Sadri
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1114025780
PECOS PAC ID: 7911979943
Enrollment ID: I20040810001365
Provider NameMelissa J Mayberry
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1477572394
PECOS PAC ID: 0840226189
Enrollment ID: I20050708000776
Provider NameCharles E Dominguez
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1063437507
PECOS PAC ID: 6800817875
Enrollment ID: I20051219000329
Provider NameAlejandra Uchio
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1144217191
PECOS PAC ID: 6002838232
Enrollment ID: I20060103000456
Provider NameThien Thu P Nguyen
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1568471373
PECOS PAC ID: 1557369725
Enrollment ID: I20061122000236
Provider NameEddie M Garcia
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1164447678
PECOS PAC ID: 0244317154
Enrollment ID: I20080402000632
Provider NameAlbert De La Pena
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1649295114
PECOS PAC ID: 0547169054
Enrollment ID: I20090331000542
Provider NameWilliam C Delapena
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1598784415
PECOS PAC ID: 6406754654
Enrollment ID: I20090615000468
Provider NameSusan K Ung
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1679582225
PECOS PAC ID: 9133272602
Enrollment ID: I20090730000466
Provider NameHoward D Cooper
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1518057108
PECOS PAC ID: 3971642950
Enrollment ID: I20091204000123
Provider NameTodd D Mishima
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1841215365
PECOS PAC ID: 6002092533
Enrollment ID: I20110518000683
Provider NameRoberto Roizenblatt
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1952564064
PECOS PAC ID: 3577741313
Enrollment ID: I20110628000010
Provider NameEvelyn M Perez
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1124101084
PECOS PAC ID: 3274792007
Enrollment ID: I20120313000941
Provider NameLynn L Huang
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1689808438
PECOS PAC ID: 1850561119
Enrollment ID: I20120705000094
Provider NameBenjamin Mandel
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1396089678
PECOS PAC ID: 6406082262
Enrollment ID: I20131126001874
Provider NameAdriana Sanchez
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1902231194
PECOS PAC ID: 9739315326
Enrollment ID: I20131204002221
Provider NameMichael J Savetsky
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1255598819
PECOS PAC ID: 7113199829
Enrollment ID: I20140813001174
Provider NameSana Bhakhrani
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1275846966
PECOS PAC ID: 0244555993
Enrollment ID: I20150220002132
Provider NameHamideh S Moayedpardazi
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1386933240
PECOS PAC ID: 1658685078
Enrollment ID: I20150729009435
Provider NameDiana Katsman
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1306003132
PECOS PAC ID: 6608162490
Enrollment ID: I20160902000801
Provider NameMelody J Kim
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1487082749
PECOS PAC ID: 2567743537
Enrollment ID: I20170105001313
Provider NameKathy Mao
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1053830158
PECOS PAC ID: 9638430101
Enrollment ID: I20180223001709
Provider NameDarren K Knight
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1891181095
PECOS PAC ID: 8224301197
Enrollment ID: I20190802001754
Provider NameNarine S Azarian
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1578046546
PECOS PAC ID: 1153754197
Enrollment ID: I20191205002570
Provider NameSelene Zamarripa
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1285250415
PECOS PAC ID: 4082033659
Enrollment ID: I20200930003263
Provider NameVictor Andon
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1811585300
PECOS PAC ID: 9335553544
Enrollment ID: I20210129001944
Provider NameMurtaza Saifee
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1225569940
PECOS PAC ID: 2062824709
Enrollment ID: I20210331001625
Provider NameJonathan Lee Go
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1902332349
PECOS PAC ID: 9234536541
Enrollment ID: I20210928003298
Provider NameCarolina Ruiz
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1104404201
PECOS PAC ID: 8628457793
Enrollment ID: I20220620001820
Provider NameOh Joo Hwang
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1851016869
PECOS PAC ID: 7012385875
Enrollment ID: I20221129000689
Provider NameRichard B Foulkes
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1932312063
PECOS PAC ID: 7214097161
Enrollment ID: I20231011000910
Provider NameYhair Desantiago
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1417735986
PECOS PAC ID: 6709237613
Enrollment ID: I20240104003015

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. De La Pena Eye Clinic, Amg, Inc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
De La Pena Eye Clinic, Amg, Inc
401 Commerce St Ste 600,
Nashville, TN 37219-2518

Ph: (615) 345-6900		De La Pena Eye Clinic, Amg, Inc
139 S Alvarado St,
Los Angeles, CA 90057

Ph: (213) 484-0170

Reviews and Comments



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