CALIFORNIA RETINA CONSULTANTS, A PROFESSIONAL MEDICAL CORPORATION – NPI #1386737617
Ophthalmology

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

CALIFORNIA RETINA CONSULTANTS, A PROFESSIONAL MEDICAL CORPORATION is an ophthalmologist located in SANTA BARBARA, CA. NPPES has assigned the NPI number 1386737617 to CALIFORNIA RETINA CONSULTANTS, A PROFESSIONAL MEDICAL CORPORATION on September 30, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CALIFORNIA RETINA CONSULTANTS, A PROFESSIONAL MEDICAL CORPORATION” is a dba name, the actual legal business name for this organization is CALIFORNIA RETINA CONSULTANTS. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207WX0107X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology, specializing in Retina Specialist

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CALIFORNIA RETINA CONSULTANTS, A PROFESSIONAL MEDICAL CORPORATION below.

NPI Profile for
CALIFORNIA RETINA CONSULTANTS

NPI Number
1386737617
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CALIFORNIA RETINA CONSULTANTS
Doing Business As (dba): CALIFORNIA RETINA CONSULTANTS, A PROFESSIONAL MEDICAL CORPORATION
Primary location
525 E MICHELTORENA ST
SUITE A
SANTA BARBARA, CA 93103-2254
Phone: (805) 963-1648 Fax: (805) 965-5214
2 Other location(s):
611 E Ocean Ave
Lompoc, CA 93436-6914
Phone: (805) 740-3080
Fax: (805) 880-5915
31355 Oak Crest Dr Ste 200
Westlake Village, CA 91361-4681
Phone: (805) 695-2462
Fax: (805) 456-2962
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PAUL DEGROW
C.O.O.
Phone: (805) 966-7085
Updated
Certification Date
Jul 21, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CALIFORNIA RETINA CONSULTANTS, A PROFESSIONAL MEDICAL CORPORATION

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE SHIELD GROUP #CAZZZ60751Z
MEDICAIDCAGR0087480
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207WX0107X
- Ophthalmology / Retina Specialist (Primary)
174400000X
- Specialist

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.