Jonathan M Davidorf, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G77298 Issued in CA

Practice address

7320 Woodlake Ave
Suite 190
West Hills, CA 91307-1468

Phone

(818) 883-0112

Fax

(818) 883-2767

NPI assigned

Oct 9, 2006

Sex

Male

Sole proprietor

Yes

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

University of California, San Diego School of Medicine, 1992

Medicare assignment

May accept Medicare assignment

Group practices

Jonathan M. Davidorf, M.D. Inc.Group PAC ID 7719063825, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• UCLA West Valley Medical Center Hospital, West Hills, CA, CCN 050481

Merit-based Incentive Payment System (MIPS)

Final score

89.23 of 100Reported as group

Quality

93.19

Improvement activities

40

Cost

73.18

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

• Jonathan M. Davidorf, M.D. Inc.

  • Ophthalmology Physician
  • West Hills, CA
  • NPI 1396913695
  Medicare reassignment Care Compare group NPD Authorized official
• Dignity Community Care

  • General Acute Care Hospital
  • Northridge, CA
  • NPI 1417089350
  NPD (past)
• West Hills Hospital

  • General Acute Care Hospital
  • West Hills, CA
  • NPI 1023065729
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Regents Univ of Calif Los Angeles

  • General Acute Care Hospital
  • West Hills, CA
  • NPI 1801653969
  Care Compare affiliation

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382918400000",
    "number": "1023105160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 WOODLAKE AVE",
            "address_2": "SUITE 190",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071468",
            "telephone_number": "818-883-0112",
            "fax_number": "818-883-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 WOODLAKE AVE",
            "address_2": "SUITE 190",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071468",
            "telephone_number": "818-883-0112",
            "fax_number": "818-883-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDORF",
        "first_name": "JONATHAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2013-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G77298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G772980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David L. Feingold, M.D., Inc.
• David S Khandabi MD Inc
• Lorna David
• Mary David, PSYD
• Bernard Davidorf, M.D.
• Cherri Lynn Davies
• Jean Drukker Davis, PT, MPH
• Victoria De Felice, N.P.
• David Paul Deisinger, MPT
• Karin Delnavaz, P.T.A.

• Ophthalmology Physician in West Hills, CA
• Providers in West Hills, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; 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.