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MACULA RETINA VITREOUS CENTER
NPI 1104221035
Ophthalmology in Torrance, CA

Active since November 04, 2014
20528 HAWTHORNE BLVD STE 201, TORRANCE, CA 90503(424) 247-9090(424) 247-9095 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Macula Retina Vitreous Center NPPES

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

MACULA RETINA VITREOUS CENTER (NPI 1104221035) is a healthcare organization registered as an ophthalmology in Torrance, California and active in the NPI registry since November 2014. The organization lists Mehran Taban, Physician, as its authorized official.

NPPES Registry Identity

NPI1104221035
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameMEHRAN TABAN M.D. INC.
Location Address20528 HAWTHORNE BLVD STE 201Torrance, CA 90503-3271
Mailing Address20528 Hawthorne Blvd Ste 201Torrance, CA 90503-3271 · (424) 247-9090 · Fax (424) 247-9095
Phone(424) 247-9090
Fax(424) 247-9095
Organization SubpartNo
Authorized OfficialMehran TabanPhysician · (424) 247-9090
Enumeration DateNovember 4, 2014
Last NPPES UpdateJanuary 30, 2023
NPPES CertifiedJanuary 30, 2023
✔ NPI 1104221035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · A108546
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.
20528 HAWTHORNE BLVD STE 201, Torrance, CA 90503
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Other Names 1

Doing Business AsMacula Retina Vitreous Center

Other Identifiers 1

OtherA108546CA · License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Macula Retina Vitreous Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Macula Retina Vitreous Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Mehran Taban, M.D.
Ophthalmology
NPI 1497943914
20528 HAWTHORNE BLVD STE 201
Torrance, CA 90503
(424) 247-9090
✔ PECOS✔ Accepts MedicareSame address
Jordan Sugarman, MD
Ophthalmology
NPI 1326532110
20528 HAWTHORNE BLVD STE 201
Torrance, CA 90503
(424) 247-9090
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mehran Taban M.D. Inc.'s NPI number?

The NPI number for Mehran Taban M.D. Inc. is 1104221035. It was assigned to this organization in the NPPES registry on November 4, 2014. The provider is doing business as Macula Retina Vitreous Center.

Where is Mehran Taban M.D. Inc. located?

Mehran Taban M.D. Inc. is located at 20528 Hawthorne Blvd Ste 201, Torrance, CA 90503. The listed phone number is (424) 247-9090.

What is Mehran Taban M.D. Inc.'s specialty?

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

Is Mehran Taban M.D. Inc. enrolled in Medicare?

Yes. Mehran Taban M.D. Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mehran Taban M.D. Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Ophthalmology, reassign their Medicare billing to Mehran Taban M.D. Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mehran Taban M.D. Inc. was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.