Individual provider Active NPI

Ehsan Sadri, M.D.

  • Ophthalmology Physician
  • Newport Beach, CA
National Provider Identifier
1114025780
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A87053 Issued in CA
Practice address
361 Hospital Rd
Suite 327
Newport Beach, CA 92663-3522
Phone
(949) 642-3100
Fax
(949) 642-4900
NPI assigned
Sep 20, 2006
Last updated
Aug 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A87053 CA Primary

Addresses

Primary practice location

361 Hospital Rd
Suite 327
Newport Beach, CA 92663-3522

Mailing address

888 S Disneyland Dr
Suite 100
Anaheim, CA 92802-1847
Phone (949) 642-3100

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040810001365 CA Practitioner - Ophthalmology 7911979943 Reassigns benefits to 2 organizations
Practice locations: Riverside, CA; Anaheim, CA; Placentia, CA

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Michigan Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

361 Hospital Rd
Suite 324
Newport Beach, CA 92663-3524
Phone (949) 528-3608

Merit-based Incentive Payment System (MIPS)

Final score
69.89 of 100Reported as individual
Quality
35.5
Improvement activities
40
Cost
68.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A87053CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
De la Pena Eye Clinic, a Medical Group, Inc. Ophthalmology CurrentSince Jun 27, 2020 Accepting new patients
De la Pena Eye Clinic, a Medical Group, Inc. Ophthalmology CurrentSince Jun 27, 2020 Accepting new patients
De la Pena Eye Clinic, a Medical Group, Inc Ophthalmology Current Accepting new patients
Visionary Eye Institute Inc Ophthalmology CurrentSince Oct 1, 2019 Accepting new patients
Sheldon M. Golden OD Optometric Corporation Past Accepting new patients
De la Pena Eye Clinic, a Medical Group, Inc. Ophthalmology Past Accepting new patients
Oc Glaucoma Ophthalmology PastSince Jun 5, 2005 Accepting new patients

Locations

2715 E Florence Ave
Huntington Pk, CA 90255
Phone (323) 581-0120

139 S Alvarado St
Los Angeles, CA 90057
Phone (213) 484-0170

2446 W Whittier Blvd
Montebello, CA 90640
Phone (213) 728-5500

361 Hospital Rd
Ste 324
Newport Beach, CA 92663
Phone (949) 500-5440

1010 W La Veta Ave
Ste 175
Orange, CA 92868
Phone (714) 633-5696

1595 E 17th St
Santa Ana, CA 92705
Phone (323) 728-7998

3500 S Bristol St
Ste 202
Santa Ana, CA 92704
Phone (714) 557-7800

3329 Tweedy Blvd
South Gate, CA 90280
Phone (323) 566-6183

11245 Washington Blvd
Whittier, CA 90606
Phone (562) 692-1208

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ehsan.sadri.p51@direct.monarchhealthcare.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1114025780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 S DISNEYLAND DR",
            "address_2": "SUITE 100",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928021847",
            "telephone_number": "949-642-3100",
            "fax_number": "949-642-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 HOSPITAL RD",
            "address_2": "SUITE 327",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633522",
            "telephone_number": "949-642-3100",
            "fax_number": "949-642-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADRI",
        "first_name": "EHSAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A87053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.