Individual provider Active NPI

Armin Vishteh, MD

  • Ophthalmology Physician
  • Burbank, CA
National Provider Identifier
1114903317
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A69896 Issued in CA
Practice address
2211 W Magnolia Blvd
Ste 240
Burbank, CA 91506-1753
Phone
(818) 391-1058
Fax
(818) 391-1067
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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 A69896 CA Primary

Addresses

Primary practice location

2211 W Magnolia Blvd
Ste 240
Burbank, CA 91506-1753

Mailing address

PO Box 25166
Los Angeles, CA 90025-0166
Phone (818) 391-1058

Other identifiers 1

IdentifierTypeStateIssuer
00A698960MedicaidCA

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
I20040712000931 CA Practitioner - Ophthalmology 9931187317 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Kansas School of Med (KC/Wich/Sal), 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1211 W 6TH St
Ontario, CA 91762-1103
Phone (909) 980-8010

501 S Buena Vista St
Burbank, CA 91505-4809
Phone (808) 391-1058

741 S Orange Ave
West Covina, CA 91790-2662
Phone (818) 391-1058

814 N Hollywood Way
Burbank, CA 91505-2831
Phone (818) 391-1058

8241 Rochester Ave
Suite 120
Rancho Cucamonga, CA 91730-0713
Phone (909) 980-8010

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Armin Vishteh, M.D., P.C. Ophthalmology CurrentSince Nov 16, 2001 Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Locations

2211 W Magnolia Blvd
Ste 240
Burbank, CA 91506

814 N Hollywood Way
Burbank, CA 91505

1211 W 6th St
Ontario, CA 91762
Phone (909) 933-6580

8241 Rochester Ave
Ste 120
Rancho Cucamonga, CA 91730
Phone (909) 980-8010

741 S Orange Ave
West Covina, CA 91790
Phone (626) 221-1392

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1114903317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25166",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900250166",
            "telephone_number": "818-391-1058",
            "fax_number": "818-391-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 W MAGNOLIA BLVD",
            "address_2": "STE 240",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061753",
            "telephone_number": "818-391-1058",
            "fax_number": "818-391-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISHTEH",
        "first_name": "ARMIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A69896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A698960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.