RETINA CONSULTANTS OF SOUTHERN CAL MEDICAL ASSOCIATES INC
NPI 1710046842
Ophthalmology in Riverside, CA

Active since December 06, 2006
9041 MAGNOLIA AVE, SUITE 207, RIVERSIDE, CA 92503(951) 788-0222(951) 299-8090 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Retina Consultants Of Southern Cal Medical Associates Inc NPPES

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

RETINA CONSULTANTS OF SOUTHERN CAL MEDICAL ASSOCIATES INC (NPI 1710046842) is a healthcare organization registered as an ophthalmology in Riverside, California and active in the NPI registry since December 2006. The organization lists John Patrick Carlson, President, as its authorized official.

NPPES Registry Identity

NPI1710046842
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameRETINA CONSULTANTS OF SOUTHERN CAL MEDICAL ASSOCIATES INC
Location Address9041 MAGNOLIA AVE, SUITE 207Riverside, CA 92503-3900
Mailing Address9041 Magnolia Ave, Suite 207Riverside, CA 92503-3900 · (951) 788-0222 · Fax (951) 299-8090
Fax(951) 299-8090
Organization SubpartNo
Authorized OfficialJohn Patrick CarlsonPresident · (951) 788-0222
Enumeration DateDecember 6, 2006
Last NPPES UpdateAugust 29, 2024
NPPES CertifiedAugust 29, 2024
✔ NPI 1710046842 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.
9041 MAGNOLIA AVE, Riverside, CA 92503

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 Of Southern Cal Medical Associates Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Retina Consultants Of Southern Cal Medical Associates Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Ophthalmology
NPI 1215913199
9041 MAGNOLIA AVE SUITE 207
Riverside, CA 92503
(951) 788-0222
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1639526072
9041 MAGNOLIA AVE STE 207
Riverside, CA 92503
(951) 788-0222
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1790280592
9041 MAGNOLIA AVE STE 207
Riverside, CA 92503
(951) 788-0222
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1396721635
9041 MAGNOLIA AVE SUITE 207
Riverside, CA 92503
(951) 788-0222
✔ PECOSSame address
Ophthalmology
NPI 1043442809
1895 ORANGE TREE LN STE 204
Redlands, CA 92374
(909) 796-3003
✔ PECOS✔ Accepts Medicare16 mi

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 Retina Consultants Of Southern Cal Medical Associates Inc's NPI number?

The NPI number for Retina Consultants Of Southern Cal Medical Associates Inc is 1710046842. It was assigned to this organization in the NPPES registry on December 6, 2006.

Where is Retina Consultants Of Southern Cal Medical Associates Inc located?

Retina Consultants Of Southern Cal Medical Associates Inc is located at 9041 Magnolia Ave Suite 207, Riverside, CA 92503. The listed phone number is (951) 788-0222.

What is Retina Consultants Of Southern Cal Medical Associates Inc's specialty?

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

Is Retina Consultants Of Southern Cal Medical Associates Inc enrolled in Medicare?

Yes. Retina Consultants Of Southern Cal Medical Associates Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Retina Consultants Of Southern Cal Medical Associates Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Ophthalmology, reassign their Medicare billing to Retina Consultants Of Southern Cal Medical Associates 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 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 Retina Consultants Of Southern Cal Medical Associates Inc was last updated on August 29, 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.