DE LA PENA EYE CLINIC, A MEDICAL GROUP, INC
NPI 1114540077
Ophthalmology in Whittier, CA
About De La Pena Eye Clinic, A Medical Group, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DE LA PENA EYE CLINIC, A MEDICAL GROUP, INC (NPI 1114540077) is a healthcare organization registered as an ophthalmology in Whittier, California and active in the NPI registry since May 2020. The organization lists Mark Kelly, Member, Board Of Managers, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
De La Pena Eye Clinic, A Medical Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
35Medicare enrollment records show 35 clinicians reassign Medicare billing to De La Pena Eye Clinic, A Medical Group, Inc, which bills Medicare for the services they deliver. Of these, 15 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 35Source: 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 De La Pena Eye Clinic, A Medical Group, Inc's NPI number?
The NPI number for De La Pena Eye Clinic, A Medical Group, Inc is 1114540077. It was assigned to this organization in the NPPES registry on May 26, 2020.
Where is De La Pena Eye Clinic, A Medical Group, Inc located?
De La Pena Eye Clinic, A Medical Group, Inc is located at 7749 Painter Ave, Whittier, CA 90602. The listed phone number is (323) 728-5500.
What is De La Pena Eye Clinic, A Medical Group, Inc's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is De La Pena Eye Clinic, A Medical Group, Inc enrolled in Medicare?
Yes. De La Pena Eye Clinic, A Medical Group, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through De La Pena Eye Clinic, A Medical Group, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 35 clinicians in 2 Medicare specialties reassign their Medicare billing to De La Pena Eye Clinic, A Medical Group, 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. The largest specialties are Ophthalmology (23) and Optometry (12). Of these, 15 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for De La Pena Eye Clinic, A Medical Group, Inc was last updated on May 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# De La Pena Eye Clinic, A Medical Group, Inc · NPI 1114540077
Ophthalmology organization in Whittier, California. Organization record, active in the CMS NPPES registry since May 26, 2020.
## Identity
- **NPI:** 1114540077 (Entity type: Organization)
- **Enumerated:** May 26, 2020
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** Mark Kelly, MEMBER, BOARD OF MANAGERS
## Practice location
- **Address:** 7749 PAINTER AVE, Whittier, CA 90602-2411
- **Phone:** (323) 728-5500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 35 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (23), Optometry (12); 15 practice within 10 miles; [full list](https://npiprofile.com/npi/1114540077/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 26, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1114540077) · Data from the CMS NPPES public registry.