TARA ALEXANDRA MCCANNEL MD NPI 1790707842

NPI Information

  • NPI: 1790707842
  • Provider Name: TARA ALEXANDRA MCCANNEL, MD
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 STEIN PLAZA
    RM 1-340
    LOS ANGELES, CA
    ZIP 90095
  • Phone: (310) 825-5000

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NPI Details

Tara Alexandra Mccannel, MD is an ophthalmology in Los Angeles, CA with 30 years of experience. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Tara Alexandra Mccannel, MD NPI is 1790707842. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 STEIN PLAZA
RM 1-340
LOS ANGELES, CA
ZIP 90095-065
Phone: (310) 825-5000

The NPI 1790707842 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Extended exam of the back part of the eye with retinal drawing (HCPCS:92201)
  • Imaging of retina (HCPCS:92134)
  • 2d ultrasound scan of eye tissue and structures (HCPCS:76512)
  • Injection of drug into eye (HCPCS:67028)
  • Photography of the retina (HCPCS:92250)
  • 1d and 2d ultrasound scan of eye tissue and structures (HCPCS:76510)
  • Ultrasound scan of eye using water bath method (HCPCS:76513)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Injection of drug into eye (HCPCS:67028)
  • Photography of content of eyes (HCPCS:92285)
  • Compounded drug, not otherwise classified (HCPCS:J7999)
  • Destruction of growth of retina by implantation of radiation source (HCPCS:67218)
  • Exam of retinal blood vessels using a special camera after injection of a dye (HCPCS:92235)
  • Fine needle aspiration of orbital contents (HCPCS:67415)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Repair of detached retina with drainage and removal of eye fluid between lens and retina (HCPCS:67108)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 7/24/2006 and was last updated on 5/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyA87675CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GQ511ZMEDICARE PINCALIFORNIA
200A876750MEDICAIDCALIFORNIA
3WA87675AMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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