PACIFIC EYE INSTITUTE, A MEDICAL GROUP, INC.
NPI 1962422709
Ophthalmology in Upland, CA
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
Specialties & Licenses
Secondary Practice Locations 22
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pacific Eye Institute, A Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
49Medicare enrollment records show 49 clinicians reassign Medicare billing to Pacific Eye Institute, A Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 15 practice at this address and 16 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 49Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, CAFrequently 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.
Is Pacific Eye Institute, A Medical Group, Inc. enrolled in Medicare?
Yes. Pacific Eye Institute, A Medical Group, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pacific Eye Institute, A Medical Group, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 49 clinicians in 2 Medicare specialties reassign their Medicare billing to Pacific Eye Institute, A Medical Group, 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. The largest specialties are Ophthalmology (40) and Optometry (9). Of these, 15 practice at this address and 16 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
What insurance does Pacific Eye Institute, A Medical Group, Inc. accept?
Health plans from Anthem Blue Cross and Blue Shield and BlueCross BlueShield of Tennessee list Pacific Eye Institute, A Medical Group, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 7 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.
# Pacific Eye Institute, A Medical Group, Inc. · NPI 1962422709
Ophthalmology organization in Upland, California. Organization record, active in the CMS NPPES registry since July 21, 2006.
## Identity
- **NPI:** 1962422709 (Entity type: Organization)
- **Enumerated:** July 21, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** Dante Cervantes, MEDICAL STAFF SERVICES SPECIALIST
## Practice location
- **Address:** 555 N 13TH AVE, Upland, CA 91786-4904
- **Phone:** (909) 982-8846 · **Fax:** (909) 949-3967
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 49 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (40), Optometry (9); 15 practice at this address and 16 within 10 miles; [full list](https://npiprofile.com/npi/1962422709/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 13, 2026
- **Other identifiers:** Medicaid GR0055503 (CA); Medicaid GR0055500 (CA); Medicaid GR0055502 (CA)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1962422709) · Data from the CMS NPPES public registry.