De la Pena Eye Clinic, A Medical Group, Inc.
NPI 1114931052ActiveOrganization· Ophthalmology· Montebello, CA
Ophthalmology in Montebello, California, registered in NPPES in July 2006. The authorized official on file is Mark Kelly, Member, Board Of Managers.
Overview
| NPI | 1114931052 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 28, 2006 |
| Last updated in NPPES | Aug 12, 2022 |
| Certified by provider | Aug 12, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | — | — |
| Optometrist | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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