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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: August 09, 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

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.

Other Providers at the Same Location NPPES 20

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

SUHAIR S. ERIKAT MFT
Marriage & Family Therapist
9850 GENESEE AVE, SUITE 970
LA JOLLA, CA 92037
San Diego County (858) 558-2731
DR. MARK C ADRIAN M.D.
Internal Medicine
9850 GENESEE AVE, SUITE 355
LA JOLLA, CA 92037
San Diego County (858) 202-0011
RICHARD A.K. CHAFFOO, A PROFESSIONAL CORPORATION
Plastic Surgery
9850 GENESEE AVE, SUITE 330
LA JOLLA, CA 92037
San Diego County (858) 623-6333
MRS. KATHLEEN DYKES YOUNG MS
Clinical Exercise Physiologist
9850 GENESEE AVE, SUITE 730
LA JOLLA, CA 92037
San Diego County (858) 847-5064
YEVHENIYA KHROBUST FNP
Nurse Practitioner (Family)
9850 GENESEE AVE
LA JOLLA, CA 92037
San Diego County (858) 554-9100
DR. PAMILA K. BRAR M.D.
Internal Medicine
9850 GENESEE AVE, STE 570
LA JOLLA, CA 92037
San Diego County (858) 200-3007
PRIMA PRIMARY MEDICAL ASSOCIATION, INC
Internal Medicine
9850 GENESEE AVE, SUITE 355
LA JOLLA, CA 92037
San Diego County (858) 202-0011
MAHMOOD MAHDAVI M.D.
Otolaryngology
9850 GENESEE AVE, STE 710
LA JOLLA, CA 92037
San Diego County (858) 458-9955

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.

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.