PACIFIC EYE INSTITUTE, A MEDICAL GROUP, INC.
NPI 1962422709
Ophthalmology in Upland, CA

Active since July 21, 2006CLIA 05D2055342 · Waiver
555 N 13TH AVE, UPLAND, CA 91786(909) 982-8846(909) 949-3967 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 13, 2026, Mar 2, 2026, Feb 14, 2025 and 2 more (5 updates tracked since 2019).

About Pacific Eye Institute, A Medical Group, Inc. NPPES

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

PACIFIC EYE INSTITUTE, A MEDICAL GROUP, INC. (NPI 1962422709) is a healthcare organization registered as an ophthalmology in Upland, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 7, 2027, maintains 22 additional practice locations, and lists Dante Cervantes, Medical Staff Services Specialist, as its authorized official.

NPPES Registry Identity

NPI1962422709
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NamePACIFIC EYE INSTITUTE, A MEDICAL GROUP, INC.
Location Address555 N 13TH AVEUpland, CA 91786-4904
Mailing Address555 N 13th AveUpland, CA 91786-4904 · (909) 982-8846 · Fax (909) 949-3967
Fax(909) 949-3967
Organization SubpartNo
Authorized OfficialDante CervantesMedical Staff Services Specialist · (909) 277-2420
Enumeration DateJuly 21, 2006
Last NPPES UpdateMarch 13, 20265 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
NPI 1962422709 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.
555 N 13TH AVE, Upland, CA 91786

Secondary Practice Locations 22

Location 1500 E Mountain View StBarstow, CA 92311-2937 · Phone (800) 645-8979
Location 211959 Mariposa RdHesperia, CA 92345-1696 · Phone (800) 345-8979
Location 3930 W Main StBarstow, CA 92311-2654 · Phone (800) 345-8979 · Fax (909) 949-3967
Location 49834 Genesee Ave Ste 200LA Jolla, CA 92037-1225 · Phone (858) 457-3050
Location 516177 Kamana RdApple Valley, CA 92307-1377 · Phone (760) 946-0618
Location 69834 Genesee Ave Ste 428LA Jolla, CA 92037-1264 · Phone (800) 765-2737
Location 78112 Milliken Ave Ste 203Rancho Cucamonga, CA 91730-7473 · Phone (800) 345-8979
Location 8700 W El Norte PkwyEscondido, CA 92026-3923 · Phone (800) 765-2737
Location 91900 E Washington StColton, CA 92324-4614 · Phone (800) 645-8979
Location 1012442 Limonite Ave Unit 200Eastvale, CA 91752-2467 · Phone (800) 345-8979
Location 116216 Brockton Ave Ste 214Riverside, CA 92506-2223 · Phone (951) 686-1190
Location 12340 S Farrell Dr Bldg 105Palm Springs, CA 92262-7963 · Phone (760) 327-6225
Location 13591 N 13th AveUpland, CA 91786-4967 · Phone (800) 345-8979
Location 145330 Carroll Canyon Rd Ste 210San Diego, CA 92121-3758 · Phone (800) 765-2737
Location 153939 3rd AveSan Diego, CA 92103-3002 · Phone (858) 450-1010
Location 1641877 Enterprise Cir N Ste 110Temecula, CA 92590-5628 · Phone (800) 345-8979
Location 17591 N 13th Ave Ste 3Upland, CA 91786-4968 · Phone (800) 345-8979
Location 1840055 Bob Hope Dr Ste JRancho Mirage, CA 92270-3940 · Phone (760) 346-5005
Location 1915099 Kamana RdApple Valley, CA 92307-1388 · Phone (800) 345-8979 · Fax (800) 345-8979
Location 203637 Vista WayOceanside, CA 92056-4522 · Phone (760) 758-2008
Location 2136949 Cook St Ste 101Palm Desert, CA 92211-6080 · Phone (760) 340-2394
Location 229481 Haven Ave Ste 200Rancho Cucamonga, CA 91730-5811 · Phone (909) 937-9230

Other Identifiers 3

MedicaidGR0055503CA
MedicaidGR0055500CA
MedicaidGR0055502CA

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

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 05D2055342

Pacific Eye Institute · Hesperia, CA
Active · expires Mar 7, 2027
CLIA Number05D2055342
Laboratory TypePhysician Office
Certificate Effective DateMarch 8, 2025
Certificate Expiration DateMarch 7, 2027
Laboratory DirectorJesse A. Dovich
Laboratory Phone(760) 956-1100
Laboratory LocationPacific Eye Institute11959 Mariposa Rd, Hesperia, CA 92345
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

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

Ophthalmology
555 N 13TH AVE
UPLAND, CA 91786
Anesthesiology
555 N 13TH AVE
UPLAND, CA 91786
Optometrist
555 N 13TH AVE
UPLAND, CA 91786
Ophthalmology
555 N 13TH AVE
UPLAND, CA 91786
Ophthalmology
555 N 13TH AVE
UPLAND, CA 91786
Ophthalmology
555 N 13TH AVE
UPLAND, CA 91786
Optometrist
555 N 13TH AVE
UPLAND, CA 91786
Ophthalmology (Retina Specialist)
555 N 13TH AVE
UPLAND, CA 91786

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 Pacific Eye Institute, A Medical Group, Inc.'s NPI number?

The NPI number for Pacific Eye Institute, A Medical Group, Inc. is 1962422709. It was assigned to this organization in the NPPES registry on July 21, 2006.

Where is Pacific Eye Institute, A Medical Group, Inc. located?

Pacific Eye Institute, A Medical Group, Inc. is located at 555 N 13th Ave, Upland, CA 91786. The listed phone number is (909) 982-8846.

What is Pacific Eye Institute, A Medical Group, Inc.'s specialty?

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

Does Pacific Eye Institute, A Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2055342) is associated with this NPI, valid through March 7, 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 Pacific Eye Institute, A Medical Group, Inc. was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.