PACIFIC EYE INSTITUTE, A MEDICAL GROUP, INC.
NPI 1962422709
Ophthalmology in Upland, CA
NPI Status: Active since July 21, 2006
Contact Information
555 N 13TH AVE
UPLAND, CA
ZIP 91786
Phone: (909) 982-8846
Fax: (909) 949-3967
- Organization
- Ophthalmology
- CLIA Number: 05D2055342
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-07-2027
About PACIFIC EYE INSTITUTE, A MEDICAL GROUP, INC.
This page provides the complete NPI Profile along with additional information for Pacific Eye Institute, A Medical Group, Inc., a provider established in Upland, California operating as a Ophthalmology. The healthcare provider is registered in the NPI registry with number 1962422709 assigned on July 2006. The practitioner's primary taxonomy code is 207W00000X. The provider is registered as an organization and their NPI record was last updated March 2026. Pacific Eye Institute, A Medical Group, Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dante Cervantes (Medical Staff Services Specialist)
- NPI
- 1962422709
- Provider Name
- PACIFIC EYE INSTITUTE, A MEDICAL GROUP, INC.
- Entity Type
- Organization
- Location Address
- 555 N 13TH AVE UPLAND, CA 91786
- Location Phone
- (909) 982-8846
- Location Fax
- (909) 949-3967
- Mailing Address
- 555 N 13TH AVE UPLAND, CA 91786
- Mailing Phone
- (909) 982-8846
- Mailing Fax
- (909) 949-3967
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-21-2006
- Last Update Date
- 03-13-2026
- Code Navigator
Ophthalmologists like Pacific Eye Institute, A Medical Group, Inc. specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.
Location Map
Secondary Locations
- 9481 Haven Ave Ste 200
Rancho Cucamonga, CA 91730
(909) 937-9230 - 8112 Milliken Ave Ste 203
Rancho Cucamonga, CA 91730
(800) 345-8979 - 9834 Genesee Ave Ste 428
LA Jolla, CA 92037
(800) 765-2737 - 16177 Kamana Rd
Apple Valley, CA 92307
(760) 946-0618 - 12442 Limonite Ave Unit 200
Eastvale, CA 91752
(800) 345-8979 - 700 W El Norte Pkwy
Escondido, CA 92026
(800) 765-2737 - 500 E Mountain View St
Barstow, CA 92311
(800) 645-8979 - 11959 Mariposa Rd
Hesperia, CA 92345
(800) 345-8979 - 930 W Main St
Barstow, CA 92311
(800) 345-8979 - 1900 E Washington St
Colton, CA 92324
(800) 645-8979 - 9834 Genesee Ave Ste 200
LA Jolla, CA 92037
(858) 457-3050 - 6216 Brockton Ave Ste 214
Riverside, CA 92506
(951) 686-1190 - 340 S Farrell Dr Bldg 105
Palm Springs, CA 92262
(760) 327-6225 - 591 N 13th Ave
Upland, CA 91786
(800) 345-8979 - 5330 Carroll Canyon Rd Ste 210
San Diego, CA 92121
(800) 765-2737 - 3939 3rd Ave
San Diego, CA 92103
(858) 450-1010 - 41877 Enterprise Cir N Ste 110
Temecula, CA 92590
(800) 345-8979 - 591 N 13th Ave Ste 3
Upland, CA 91786
(800) 345-8979 - 40055 Bob Hope Dr Ste J
Rancho Mirage, CA 92270
(760) 346-5005 - 15099 Kamana Rd
Apple Valley, CA 92307
(800) 345-8979 - 3637 Vista Way
Oceanside, CA 92056
(760) 758-2008 - 36949 Cook St Ste 101
Palm Desert, CA 92211
(760) 340-2394
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Ophthalmology
- Taxonomy Code
- 207W00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0055503 | MEDICAID (05) | CA | |
| GR0055500 | MEDICAID (05) | CA | |
| GR0055502 | MEDICAID (05) | CA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2055342
- Facility Type
- Physician Office
- Certificate Effective Date
- March 08, 2025
- Certificate Expiration Date
- March 07, 2027
- Laboratory Director
- JESSE A. DOVICH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pacific Eye Institute, A Medical Group, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for PACIFIC EYE INSTITUTE, A MEDICAL GROUP, INC.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1962422709, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 17 providers are registered at the same or a nearby location.
UPLAND, CA 91786
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962422709, enumerated as an "organization" on July 21, 2006.
The provider is located at 555 N 13TH AVE UPLAND, CA 91786 and the phone number is (909) 982-8846.
Ophthalmology with taxonomy code 207W00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
