Gary Ellis Feldman, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G26533 Issued in CA

Practice address

3709 Ocean Blvd
Corona del Mar, CA 92625-3011

Phone

(949) 759-5087

Fax

(949) 759-0409

NPI assigned

Jan 8, 2008

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1043495153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 OCEAN BLVD",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926253011",
            "telephone_number": "949-759-5087",
            "fax_number": "949-759-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 OCEAN BLVD",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926253011",
            "telephone_number": "949-759-5087",
            "fax_number": "949-759-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "GARY",
        "middle_name": "ELLIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G26533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "G26533",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ali Elahi, MD
• Mia Elbayar
• Enas Elshiwick, PSY.D.,MFT
• Abby Endres, DC
• Ginger Fee
• Michael Brandon Fernandez, PT, DPT
• William S. Flanagan III, L.AC.
• Laleh Taheri Ford, PHARM.D.
• Brianna Doreen Foreman, PT, DPT
• Emily Forney, FNP-C

• Ophthalmology Physician in Corona del Mar, CA
• Providers in Corona del Mar, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.