EAST-WEST EYE INSTITUTE A MEDICAL CORPORATION
NPI 1083890701
Ophthalmology in Gardena, CA

Active since January 11, 2008CLIA 05D1058695 · Waiver
879 W 190TH ST STE 100, GARDENA, CA 90248(310) 329-9975(310) 329-4759 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 9, 2023, Jan 12, 2023 (2 updates tracked since 2023).

About East-west Eye Institute A Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST-WEST EYE INSTITUTE A MEDICAL CORPORATION (NPI 1083890701) is a healthcare organization registered as an ophthalmology in Gardena, California and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through September 12, 2026 and lists Nicole Turner, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1083890701
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameEAST-WEST EYE INSTITUTE A MEDICAL CORPORATION
Location Address879 W 190TH ST STE 100Gardena, CA 90248-4223
Mailing Address75 Enterprise Ste 200Aliso Viejo, CA 92656-2626 · (949) 688-6205
Fax(310) 329-4759
Organization SubpartNo
Authorized OfficialNicole TurnerCredentialing Manager · (949) 688-6205
Enumeration DateJanuary 11, 2008
Last NPPES UpdateNovember 9, 20232 updates tracked since enumeration
NPPES CertifiedNovember 9, 2023
NPI 1083890701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOptometristTaxonomy 152W00000X
Also ListedOphthalmology · Glaucoma SpecialistTaxonomy 207WX0009X
Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
879 W 190TH ST STE 100, Gardena, CA 90248

Other Identifiers 1

MedicaidGR0078581CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1058695

East West Eye Institute · Gardena, CA
Active · expires Sep 12, 2026
CLIA Number05D1058695
Laboratory TypePhysician Office
Certificate Effective DateSeptember 13, 2024
Certificate Expiration DateSeptember 12, 2026
Laboratory DirectorDr. Johnathon E. Downing
Laboratory Phone(310) 329-9975
Laboratory LocationEast West Eye Institute879 W 190th St, Gardena, CA 90248
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
879 W 190TH ST STE 100
GARDENA, CA 90248
Behavior Technician
879 W 190TH ST STE 100
GARDENA, CA 90248

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East-West Eye Institute A Medical Corporation's NPI number?

The NPI number for East-West Eye Institute A Medical Corporation is 1083890701. It was assigned to this organization in the NPPES registry on January 11, 2008.

Where is East-West Eye Institute A Medical Corporation located?

East-West Eye Institute A Medical Corporation is located at 879 W 190th St Ste 100, Gardena, CA 90248. The listed phone number is (310) 329-9975.

What is East-West Eye Institute A Medical Corporation's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does East-West Eye Institute A Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1058695) is associated with this NPI, valid through September 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for East-West Eye Institute A Medical Corporation was last updated on November 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.