De la Pena Eye Clinic, A Medical Group, Inc
NPI 1952748501ActiveOrganization· Ophthalmology· Van Nuys, CA
Ophthalmology in Van Nuys, California, registered in NPPES in May 2013. The authorized official on file is Mark Kelly, Member, Board Of Managers.
Overview
| NPI | 1952748501 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 22, 2013 |
| Last updated in NPPES | Feb 18, 2020 |
| Certified by provider | Feb 18, 2020 |
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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