Organization Active NPI

Aesthetic Eye Plastic Surgeons Medical Corporation

  • Ophthalmology Physician
  • Encino, CA
National Provider Identifier
1154434983
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
AESTHETIC EYE PLASTIC SURGEONS MEDICAL CORPORATION
Practice address
16661 Ventura Blvd Ste 826
Encino, CA 91436-4803
Phone
(818) 477-0560
Fax
(408) 724-6592
NPI assigned
Aug 16, 2006
Last updated
Jun 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Authorized official

Name
Sangeeta Logani, MDNPI 1578676300
Title
President
Phone
(818) 477-0560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

16661 Ventura Blvd Ste 826
Encino, CA 91436-4803

Mailing address

16661 Ventura Blvd Ste 826
Encino, CA 91436-4803
Phone (818) 477-0560

Other practice location 1

143 W 5th St
Oxnard, CA 93030-7105
Phone (818) 477-0560

Other identifiers 1

IdentifierTypeStateIssuer
GR0104590MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070426000402 CA Part B Supplier - Clinic/Group Practice 6709982457 Receives reassigned benefits from 1 practitioner
Practice locations: Oxnard, CA; Reseda, CA

National Provider Directory

National Provider Directory

Locations

8383 Wilshire Blvd
Ste 440
Beverly Hills, CA 90211
Phone (310) 571-5026

16661 Ventura Blvd
Ste 826
Encino, CA 91436
Phone (424) 666-1597

1025 N Brand Blvd
Ste 200
Glendale, CA 91202
Phone (818) 230-2140

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1154434983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 826",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364803",
            "telephone_number": "818-477-0560",
            "fax_number": "408-724-6592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 826",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364803",
            "telephone_number": "818-477-0560",
            "fax_number": "408-724-6592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "143 W 5th St",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930307105",
            "country_code": "US",
            "telephone_number": "818-477-0560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AESTHETIC EYE PLASTIC SURGEONS MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "LOGANI",
        "authorized_official_first_name": "SANGEETA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-477-0560",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0104590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.