San Gabriel Retina PC
NPI 1891264818ActiveOrganization· Ophthalmology, Retina Specialist· San Gabriel, CA
Ophthalmology, Retina Specialist in San Gabriel, California, registered in NPPES in November 2018. The authorized official on file is Yi Jiang, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1891264818 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 19, 2018 |
| Last updated in NPPES | Nov 5, 2024 |
| Certified by provider | Nov 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology, Retina Specialist Primary | 207WX0107X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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