DE LA PENA EYE CLINIC, A MEDICAL GROUP, INC.
NPI 1114931052
Ophthalmology in Montebello, 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 1114931052) is a healthcare organization registered as an ophthalmology in Montebello, California and active in the NPI registry since July 2006. The organization lists Mark Kelly, Member, Board Of Managers, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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, 11 practice at this address and 17 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 1114931052. It was assigned to this organization in the NPPES registry on July 28, 2006.
Where is De La Pena Eye Clinic, A Medical Group, Inc. located?
De La Pena Eye Clinic, A Medical Group, Inc. is located at 2446 W Whittier Blvd, Montebello, CA 90640. 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, 11 practice at this address and 17 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 August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 1114931052
Ophthalmology organization in Montebello, California. Organization record, active in the CMS NPPES registry since July 28, 2006.
## Identity
- **NPI:** 1114931052 (Entity type: Organization)
- **Enumerated:** July 28, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** Mark Kelly, MEMBER, BOARD OF MANAGERS
## Practice location
- **Address:** 2446 W WHITTIER BLVD, Montebello, CA 90640-3041
- **Phone:** (323) 728-5500 · **Fax:** (323) 728-4408
## 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); 11 practice at this address and 17 within 10 miles; [full list](https://npiprofile.com/npi/1114931052/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 12, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1114931052) · Data from the CMS NPPES public registry.