De La Pena Eye Clinic, a Medical Group, Inc
NPI 1306850250 · Ophthalmology Physician · Los Angeles, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
De La Pena Eye Clinic, a Medical Group, Inc is a Ophthalmology Physician organization in Los Angeles, CA (NPI 1306850250).
Provider details
- NPI number
- 1306850250
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Kelly, Member, Board of Managers(615) 345-6900
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Optometrist152W00000X
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- De La Pena Eye Clinic, Amg, Inc
- Doing business as
- De La Pena Eye Clinic, Amg, Inc
Registry dates
- Enumerated
- 2006-07-28
- Last updated
- 2020-02-18
- Certified
- 2020-02-18
Frequently asked questions
- What is De La Pena Eye Clinic, a Medical Group, Inc's NPI number?
- De La Pena Eye Clinic, a Medical Group, Inc's National Provider Identifier (NPI) is 1306850250, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is De La Pena Eye Clinic, a Medical Group, Inc?
- De La Pena Eye Clinic, a Medical Group, Inc is classified in the NPPES registry as Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is De La Pena Eye Clinic, a Medical Group, Inc located?
- De La Pena Eye Clinic, a Medical Group, Inc's practice location on file with NPPES is 139 S Alvarado St, Los Angeles, CA 90057.
- What is De La Pena Eye Clinic, a Medical Group, Inc's phone number?
- The practice phone number listed in the NPPES registry for De La Pena Eye Clinic, a Medical Group, Inc is (213) 484-0170.
- Does De La Pena Eye Clinic, a Medical Group, Inc accept Medicare?
- De La Pena Eye Clinic, a Medical Group, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for De La Pena Eye Clinic, a Medical Group, Inc?
- The authorized official listed on De La Pena Eye Clinic, a Medical Group, Inc's NPPES record is Mark Kelly, Member, Board of Managers. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is De La Pena Eye Clinic, a Medical Group, Inc's NPI active?
- Yes — De La Pena Eye Clinic, a Medical Group, Inc's NPI (1306850250) is active in the NPPES registry as of the last update on 2020-02-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.