| NPI | 1053584474 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2008-04-07 |
| Last Updated | 2022-07-21 |
| Authorized Official | Tom Chang Founder/Owner Phone: 6262695311 |
| Mailing Address | 100 E California Blvd Pasadena, CA 91105-3205 United States Phone: (888) 884-3805 | Fax: (626) 796-7657 📍 View Map |
| Primary Practice Address | 5565 Grossmont Center Dr Ste 551 La Mesa, CA 91942-3078 United States Phone: (619) 465-2020 | Fax: (619) 698-1189 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | CA | 1114205432 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 152W00000X – Optometrist | CA | — |
| No | 174400000X – Specialist | CA | — |
| Yes | 207W00000X – Ophthalmology | CA | — |
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About NPI 1053584474
Trilogy Eye Medical Group, Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1053584474. The primary specialty listed is Ophthalmology. The organization is located in La Mesa, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-04-07. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1053584474?
NPI 1053584474 belongs to Trilogy Eye Medical Group, Inc, a Ophthalmology in La Mesa, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1053584474 active?
The current status of NPI 1053584474 in the NPPES registry is Active. The record was last updated on 2022-07-21.
What specialty is NPI 1053584474?
NPI 1053584474 is classified under the taxonomy Ophthalmology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1053584474?
You can verify NPI 1053584474 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1053584474?
The primary practice address on file for NPI 1053584474 is 5565 Grossmont Center Dr Ste 551, La Mesa, CA 91942-3078. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1053584474 issued?
NPI 1053584474 was first issued (enumerated) on 2008-04-07. The NPPES record was last updated on 2022-07-21.
Practice Location Map
Trilogy Eye Medical Group, Inc is located at 5565 Grossmont Center Dr Ste 551, La Mesa, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Trilogy Eye Medical Group, Inc. All records sourced from the CMS NPPES registry.