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RETINA CONSULTANTS OF ORANGE COUNTY, A MEDICAL CORPORATION
NPI 1770539702
Ophthalmology - Retina Specialist in Fullerton, CA

Active since May 25, 2006CLIA 05D2117777 · Waiver
301 W BASTANCHURY RD, 285, FULLERTON, CA 92835(714) 738-4620(714) 738-0388 Get Directions Write a Review

NPPES record last updated: March 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2022, Apr 24, 2017 (2 updates tracked since 2017).

About Retina Consultants Of Orange County, A Medical Corporation NPPES

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

RETINA CONSULTANTS OF ORANGE COUNTY, A MEDICAL CORPORATION (NPI 1770539702) is a healthcare organization registered as a retina specialist in Fullerton, California and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through February 6, 2027 and lists Scott Grant, President, as its authorized official.

NPPES Registry Identity

NPI1770539702
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameRETINA CONSULTANTS OF ORANGE COUNTY, A MEDICAL CORPORATION
Location Address301 W BASTANCHURY RD, 285Fullerton, CA 92835-3419
Mailing Address301 W Bastanchury Rd, 285Fullerton, CA 92835-3419 · (714) 738-4620 · Fax (714) 738-0388
Phone(714) 738-4620
Fax(714) 738-0388
Organization SubpartNo
Authorized OfficialScott GrantPresident · (714) 738-4620
Enumeration DateMay 25, 2006
Last NPPES UpdateMarch 4, 20222 updates tracked since enumeration
NPPES CertifiedMarch 4, 2022
✔ NPI 1770539702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License✔ Licensed in CA · G32479
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
301 W BASTANCHURY RD, Fullerton, CA 92835
Open in Google Maps ↗

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 05D2117777

Retina Consultants Of Orange County · Fullerton, CA
Active · expires Feb 6, 2027
CLIA Number05D2117777
Laboratory TypePhysician Office
Certificate Effective DateFebruary 7, 2025
Certificate Expiration DateFebruary 6, 2027
Laboratory DirectorSean Adrean MD
Laboratory Phone(714) 738-4620
Laboratory LocationRetina Consultants Of Orange County301 W Bastanchury Rd Ste 275, Fullerton, CA 92835
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.

JOHN D. ZDRAL, M.D., INC.
Ophthalmology
301 W BASTANCHURY RD, SUITE 10
FULLERTON, CA 92835
Orange County (714) 879-7372
DR. HELIA ERAGI D.O.
Dermatology
301 W BASTANCHURY RD, SUITE 210
FULLERTON, CA 92835
Orange County (714) 879-9936
THIEN PHUC NGUYEN D.D.S.
Dentist (Endodontics)
301 W BASTANCHURY RD, SUITE 110
FULLERTON, CA 92835
Orange County (714) 526-9214
QUINT SKIPTON P.A.-C
Physician Assistant
301 W BASTANCHURY RD, SUITE 210
FULLERTON, CA 92835
Orange County (714) 879-9936
ADRIANA LAZE R.N.
Registered Nurse
301 W BASTANCHURY RD, SUITE 210
FULLERTON, CA 92835
Orange County (714) 879-9936
DR. SEAN DAVID ADREAN M.D.
Ophthalmology (Retina Specialist)
301 W BASTANCHURY RD, 285
FULLERTON, CA 92835
Orange County (714) 738-4620
CHARLES E. GRONCY, MD INC
Allergy & Immunology (Allergy)
301 W BASTANCHURY RD, SUITE 25
FULLERTON, CA 92835
Orange County (714) 680-6220
DR. CHARLES COONAN STREIT MD
Urology
301 W BASTANCHURY RD, # 180
FULLERTON, CA 92835
Orange County (714) 870-5970

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 Orange County, A Medical Corporation's NPI number?

The NPI number for Retina Consultants Of Orange County, A Medical Corporation is 1770539702. It was assigned to this organization in the NPPES registry on May 25, 2006.

Where is Retina Consultants Of Orange County, A Medical Corporation located?

Retina Consultants Of Orange County, A Medical Corporation is located at 301 W Bastanchury Rd 285, Fullerton, CA 92835. The listed phone number is (714) 738-4620.

What is Retina Consultants Of Orange County, A Medical Corporation's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Does Retina Consultants Of Orange County, A Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2117777) is associated with this NPI, valid through February 6, 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 Of Orange County, A Medical Corporation was last updated on March 4, 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.