Daniel Ebroon, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G85742 Issued in CA

Practice address

351 Rolling Oaks Dr Ste 102
Thousand Oaks, CA 91361-1279

Phone

(805) 497-3744

Fax

(805) 497-1663

NPI assigned

Jun 11, 2006

Last updated

Mar 9, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Northwestern University Feinberg Medical School, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cse Medical Group Inc.Group PAC ID 4082682034, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.11 of 100Reported as group

Quality

94.93

Improvement activities

40

Cost

77.13

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: d.ebroon@direct.mesmg.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cse Medical Group Inc.

  dba Conejo Simi Eye Medical Group

  • Ophthalmology Physician
  • Thousand Oaks, CA
  • NPI 1215979844
  Medicare reassignment Care Compare group NPD
• Miramar Eye Specialists Medical Group, Inc

  dba Miramar Eye Specialists Medical Group

  • Ophthalmology Physician
  • Ventura, CA
  • NPI 1992746382
  Medicare reassignment NPD
• Los Robles Regional Medical Center

  dba Los Robles Hospital & Medical Center

  • General Acute Care Hospital
  • Thousand Oaks, CA
  • NPI 1033163019
  NPD (past)
• The Westlake Ophthalmology ASC, LLC

  dba Westlake Eye Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Westlake Village, CA
  • NPI 1629041157
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1023050655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 ROLLING OAKS DR STE 102",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611279",
            "telephone_number": "805-497-3744",
            "fax_number": "805-497-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 ROLLING OAKS DR STE 102",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611279",
            "telephone_number": "805-497-3744",
            "fax_number": "805-497-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBROON",
        "first_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G85742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT. OF LABOR",
            "identifier": "205153800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pierre Durand Jr., M.D.
• Muhammad Bilal Durrani, MD
• Sujay Dutta, MD
• Mark Dydasco
• Amanda Marie Earl, L.AC
• Echomind Family Therapy, Inc.
• Thad Allen Eckman Jr., PH.D.
• Edc Medical Supply Inc.
• Casey R Edgar
• Edmund Choi, M.D. Inc.

• Ophthalmology Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.