MAYO RETINA, INC.
NPI 1851561716
Clinic/Center - Ophthalmologic Surgery in Garden Grove, CA

Active since March 07, 2008
12665 GARDEN GROVE BLVD STE 300, GARDEN GROVE, CA 92843(657) 667-0817(657) 667-0819 Get Directions Write a Review

NPPES record last updated: January 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mayo Retina, Inc. NPPES

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

MAYO RETINA, INC. (NPI 1851561716) is a healthcare organization registered as an ophthalmologic surgery in Garden Grove, California and active in the NPI registry since March 2008. The organization lists George L. Mayo, Md, as its authorized official.

NPPES Registry Identity

NPI1851561716
Entity TypeOrganization
Primary Taxonomy261QS0132X
Legal Business NameMAYO RETINA, INC.
Location Address12665 GARDEN GROVE BLVD STE 300Garden Grove, CA 92843-1917
Mailing Address12665 Garden Grove Blvd Ste 300Garden Grove, CA 92843-1917 · (657) 667-0817 · Fax (657) 667-0819
Fax(657) 667-0819
Organization SubpartNo
Authorized OfficialGeorge L. MayoMd · (657) 667-0817
Enumeration DateMarch 7, 2008
Last NPPES UpdateJanuary 10, 2026
NPPES CertifiedJanuary 10, 2026
✔ NPI 1851561716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ophthalmologic SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0132X
License✔ Licensed in CA · G83501
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X · License 20A9551 (CA)
12665 GARDEN GROVE BLVD STE 300, Garden Grove, CA 92843

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mayo Retina, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Ophthalmology
NPI 1265591994
12665 GARDEN GROVE BLVD STE 300
Garden Grove, CA 92843
(657) 667-0817
✔ PECOS✔ Accepts MedicareSame address

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 Mayo Retina, Inc.'s NPI number?

The NPI number for Mayo Retina, Inc. is 1851561716. It was assigned to this organization in the NPPES registry on March 7, 2008.

Where is Mayo Retina, Inc. located?

Mayo Retina, Inc. is located at 12665 Garden Grove Blvd Ste 300, Garden Grove, CA 92843. The listed phone number is (657) 667-0817.

What is Mayo Retina, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ophthalmologic Surgery, with taxonomy code 261QS0132X.

Is Mayo Retina, Inc. enrolled in Medicare?

Yes. Mayo Retina, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mayo Retina, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Mayo Retina, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mayo Retina, Inc. was last updated on January 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.