Individual provider Active NPI

John G Rezapour, MD

  • Ophthalmology Physician
  • Encino, CA
National Provider Identifier
1194732578
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A77006 Issued in CA
Practice address
16661 Ventura Blvd Ste 211
Encino, CA 91436-1938
Phone
(818) 205-1200
Fax
(818) 205-1254
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 A77006 CA Primary

Addresses

Primary practice location

16661 Ventura Blvd Ste 211
Encino, CA 91436-1938

Mailing address

16661 Ventura Blvd Ste 211
Encino, CA 91436-1938
Phone (818) 205-1200

Other practice location 1

5901 W Olympic Blvd Ste 101
Los Angeles, CA 90036-4659
Phone (310) 357-3200

Other practice location 2

5400 Balboa Blvd
Suite 209
Encino, CA 91316-5218
Phone (818) 205-1200

Other practice location 3

5400 Balboa Blvd
Suite 209
Encino, CA 91316-5218
Phone (818) 205-1200

Other identifiers 1

IdentifierTypeStateIssuer
00A770061MedicaidCA

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
I20040331001084 CA Practitioner - Ophthalmology 9830181023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16661 Ventura Blvd
Suite 211
Encino, CA 91436-1938
Phone (818) 205-1200

Merit-based Incentive Payment System (MIPS)

Final score
98.12 of 100Reported as individual
Quality
86.25
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery427

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A77006CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John G Rezapour MD Inc Ophthalmology CurrentSince Aug 1, 2003 Accepting new patients

Locations

5400 Balboa Blvd
Ste 209
Encino, CA 91316
Phone (818) 205-1200

16661 Ventura Blvd
Ste 211
Encino, CA 91436
Phone (818) 205-1200

5901 W Olympic Blvd
Ste 101
Los Angeles, CA 90036
Phone (310) 657-3200

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1194732578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 211",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361938",
            "telephone_number": "818-205-1200",
            "fax_number": "818-205-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 211",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361938",
            "telephone_number": "818-205-1200",
            "fax_number": "818-205-1254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5901 W Olympic Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900364659",
            "country_code": "US",
            "telephone_number": "310-357-3200",
            "fax_number": "310-657-3202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5400 Balboa Blvd",
            "address_2": "Suite 209",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "913165218",
            "country_code": "US",
            "telephone_number": "818-205-1200",
            "fax_number": "818-205-1254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5400 Balboa Blvd",
            "address_2": "Suite 209",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "913165218",
            "country_code": "US",
            "telephone_number": "818-205-1200",
            "fax_number": "818-205-1254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REZAPOUR",
        "first_name": "JOHN",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A77006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A770061",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.