RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR
NPI 1912390097
Specialist in La Quinta, CA

Active since March 12, 2015
47474 WASHINGTON ST, LA QUINTA, CA 92253(760) 564-2500(760) 564-2577 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Retina Institute Of California Medical Group, A California Medical Par NPPES

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

RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR (NPI 1912390097) is a healthcare organization registered as a specialist in La Quinta, California and active in the NPI registry since March 2015. The organization lists Tom S. Chang, Founder, as its authorized official.

NPPES Registry Identity

NPI1912390097
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameRETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR
Location Address47474 WASHINGTON STLa Quinta, CA 92253-8846
Mailing Address100 E California BlvdPasadena, CA 91105-3205 · (626) 568-8838 · Fax (626) 574-7188
Fax(760) 564-2577
Organization SubpartNo
Authorized OfficialTom S. ChangFounder · (626) 568-8838
Enumeration DateMarch 12, 2015
Last NPPES UpdateMarch 30, 2021
NPPES CertifiedMarch 30, 2021
NPI 1912390097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · A69909
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedOptometristTaxonomy 152W00000X · License A69909 (CA)
47474 WASHINGTON ST, La Quinta, CA 92253

Other Identifiers 1

Other1760541569CA · Group Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Optometrist
47474 WASHINGTON ST
LA QUINTA, CA 92253
Optometrist
47474 WASHINGTON ST
LA QUINTA, CA 92253
Specialist
47474 WASHINGTON ST
LA QUINTA, CA 92253
Ophthalmology (Cornea and External Diseases Specialist)
47474 WASHINGTON ST
LA QUINTA, CA 92253

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 Institute Of California Medical Group, A California Medical Par's NPI number?

The NPI number for Retina Institute Of California Medical Group, A California Medical Par is 1912390097. It was assigned to this organization in the NPPES registry on March 12, 2015.

Where is Retina Institute Of California Medical Group, A California Medical Par located?

Retina Institute Of California Medical Group, A California Medical Par is located at 47474 Washington St, La Quinta, CA 92253. The listed phone number is (760) 564-2500.

What is Retina Institute Of California Medical Group, A California Medical Par's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Retina Institute Of California Medical Group, A California Medical Par was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.