Retinal Consultants of Southern California Medical Group, Inc
NPI 1700807815 · Specialist · Westlake Village, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Retinal Consultants of Southern California Medical Group, Inc is a Specialist organization in Westlake Village, CA (NPI 1700807815).
Provider details
- NPI number
- 1700807815
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Kenneth Diddie, President(805) 379-0200
- License
- G33939 (CA)
Specialties & taxonomies
Other Service 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
Registry dates
- Enumerated
- 2006-07-22
- Last updated
- 2023-09-26
- Certified
- 2023-09-26
Frequently asked questions
- What is Retinal Consultants of Southern California Medical Group, Inc's NPI number?
- Retinal Consultants of Southern California Medical Group, Inc's National Provider Identifier (NPI) is 1700807815, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Retinal Consultants of Southern California Medical Group, Inc?
- Retinal Consultants of Southern California Medical Group, Inc is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Retinal Consultants of Southern California Medical Group, Inc located?
- Retinal Consultants of Southern California Medical Group, Inc's practice location on file with NPPES is 1220 La Venta Dr, Westlake Village, CA 91361-3703.
- What is Retinal Consultants of Southern California Medical Group, Inc's phone number?
- The practice phone number listed in the NPPES registry for Retinal Consultants of Southern California Medical Group, Inc is (805) 379-0200.
- Does Retinal Consultants of Southern California Medical Group, Inc accept Medicare?
- Retinal Consultants of Southern California 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 Retinal Consultants of Southern California Medical Group, Inc?
- The authorized official listed on Retinal Consultants of Southern California Medical Group, Inc's NPPES record is Kenneth Diddie, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Retinal Consultants of Southern California Medical Group, Inc's NPI active?
- Yes — Retinal Consultants of Southern California Medical Group, Inc's NPI (1700807815) is active in the NPPES registry as of the last update on 2023-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.