Sanjay Logani, MD

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

G73456 Issued in CA

Practice address

17750 Sherman Way
Suite 100
Reseda, CA 91335-8331

Phone

(818) 886-6700

Fax

(818) 886-6709

NPI assigned

Aug 16, 2006

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

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, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Retina Associates Medical Group Inc.Group PAC ID 1759361041, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

87.97

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Advanced Retina Associates Medical Group, Inc

  • Ophthalmology Physician
  • Reseda, CA
  • NPI 1730292541
  Medicare reassignment Care Compare group Authorized official
• Glendale Retina Associates Medical Group Inc.

  • Ophthalmology Physician
  • Glendale, CA
  • NPI 1609989425

  Retina Specialist

  NPD (past) Authorized official
• Aesthetic Eye Plastic Surgeons Medical Corporation

  • Ophthalmology Physician
  • Encino, CA
  • NPI 1154434983
  NPD (past)
• Community Memorial Health System

  • General Acute Care Hospital
  • Ventura, CA
  • NPI 1215903018
  NPD (past)
• Dignity Community Care

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

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501113600000",
    "number": "1124131958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17750 SHERMAN WAY",
            "address_2": "SUITE 100",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913358331",
            "telephone_number": "818-886-6700",
            "fax_number": "818-886-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17750 SHERMAN WAY",
            "address_2": "SUITE 100",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913358331",
            "telephone_number": "818-886-6700",
            "fax_number": "818-886-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGANI",
        "first_name": "SANJAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2017-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "G73456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Linares
• Kari Kristine Lindman, PH.D.
• Livia Adult Day Care
• Jessica Lizana, D.D.S.
• LMS Home Health Agency, Incorporation
• Matthew Longoria, CADC-II, CDS
• Looksbrite Optometry Center
• Los Angeles County - Reseda Mtu
• Los Angeles County Department of Mental Health
• Los Angeles Jewish Home Ipa

• Retina Specialist (Ophthalmology) Physician in Reseda, CA
• Providers in Reseda, CA by specialty
• Retina Specialist (Ophthalmology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; 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.