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RETINA CONSULTANTS SAN DIEGO INC
NPI 1366493546
Ophthalmology in La Jolla, CA

Active since May 13, 2006CLIA 05D2091515 · Waiver
9850 GENESEE AVE, SUITE 700, LA JOLLA, CA 92037(858) 558-9666(858) 558-1941 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Retina Consultants San Diego Inc NPPES

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

RETINA CONSULTANTS SAN DIEGO INC (NPI 1366493546) is a healthcare organization registered as an ophthalmology in La Jolla, California and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through February 12, 2027 and lists Jocelin Ing, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1366493546
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameRETINA CONSULTANTS SAN DIEGO INC
Location Address9850 GENESEE AVE, SUITE 700La Jolla, CA 92037-1224
Mailing Address12630 Monte Vista Rd, Suite 104Poway, CA 92064-2526 · (858) 451-1911 · Fax (858) 451-0566
Phone(858) 558-9666
Fax(858) 558-1941
Organization SubpartNo
Authorized OfficialJocelin IngPractice Administrator · (858) 500-7815
Enumeration DateMay 13, 2006
Last NPPES UpdateFebruary 6, 2024
NPPES CertifiedFebruary 6, 2024
✔ NPI 1366493546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
9850 GENESEE AVE, La Jolla, CA 92037
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Other Names 1

Doing Business AsRetina Consultants San Diego Inc

Other Identifiers 3

OtherZZZ30299ZCA · Blue Shield
MedicaidGR0045281CA
OtherDA1466CA · Medicare Railroad

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)

Retina Consultants San Diego Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Retina Consultants San Diego Inc, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Anne Hanneken, MD
Ophthalmology
NPI 1699876011
9850 GENESEE AVE STE 700
La Jolla, CA 92037
(858) 558-9666
✔ PECOS✔ Accepts Medicare0.2 mi
Nikolas London, M.D.
Ophthalmology
NPI 1730418849
12475 CAMARERO CT
San Diego, CA 92130
(415) 341-5456
✔ PECOS✔ Accepts Medicare4.3 mi
Atul Jain, M.D.
Ophthalmology
NPI 1194905711
7695 CARDINAL COURT SUITE 100
San Diego, CA 92123
(858) 609-7100
✔ PECOS✔ Accepts Medicare7.5 mi
Thomas Lazzarini, MD
Ophthalmology
NPI 1477088979
3965 FIFTH AVE STE 330
San Diego, CA 92103
(858) 451-1911
✔ PECOS✔ Accepts Medicare10.0 mi
Lon Poliner, M.D.
Ophthalmology
NPI 1720038458
12630 MONTE VISTA RD SUITE #104
Poway, CA 92064
(858) 451-1911
✔ PECOS13 mi
Michael Ammar, MD
Ophthalmology
NPI 1982099115
12630 MONTE VISTA RD STE 104
Poway, CA 92064
(858) 451-1911
✔ PECOS✔ Accepts Medicare13 mi

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

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 05D2091515

Retina Consultants San Diego Inc · Poway, CA
Active · expires Feb 12, 2027
CLIA Number05D2091515
Laboratory TypePhysician Office
Certificate Effective DateFebruary 13, 2025
Certificate Expiration DateFebruary 12, 2027
Laboratory DirectorNikolas London
Laboratory Phone(858) 451-1911
Laboratory LocationRetina Consultants San Diego Inc12630 Monte Vista Rd Ste 209, Poway, CA 92064
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Retina Consultants San Diego Inc's NPI number?

The NPI number for Retina Consultants San Diego Inc is 1366493546. It was assigned to this organization in the NPPES registry on May 13, 2006.

Where is Retina Consultants San Diego Inc located?

Retina Consultants San Diego Inc is located at 9850 Genesee Ave Suite 700, La Jolla, CA 92037. The listed phone number is (858) 558-9666.

What is Retina Consultants San Diego Inc's specialty?

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

Is Retina Consultants San Diego Inc enrolled in Medicare?

Yes. Retina Consultants San Diego Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Retina Consultants San Diego Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Ophthalmology, reassign their Medicare billing to Retina Consultants San Diego 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, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Retina Consultants San Diego Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2091515) is associated with this NPI, valid through February 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Retina Consultants San Diego Inc was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.