Active NPI
Mohammad Reza Kalantari Nejad, MD
- Ophthalmology Physician
- Encino, CA
National Provider Identifier
1235203449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A48313
- Practice address
- 16661 Ventura Blvd
Suite 312
Encino, CA 91436-1914 - Phone
- (818) 380-9191
- Fax
- (818) 380-9190
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A48313 | CA | Primary |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | A48313 | CA |
Addresses
Primary practice location
16661 Ventura Blvd
Suite 312
Encino, CA 91436-1914
Mailing address
16661 Ventura Blvd
Suite 312
Encino, CA 91436-1914
Phone (818) 380-9191
Other names 1
- Dr. Ray Nejad (Nezhad)
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A48313 | CA | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamni Medical Inc | Ophthalmology | Past | Accepting new patients |
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": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241136000000",
"number": "1235203449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16661 VENTURA BLVD",
"address_2": "SUITE 312",
"city": "ENCINO",
"state": "CA",
"postal_code": "914361914",
"telephone_number": "818-380-9191",
"fax_number": "818-380-9190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16661 VENTURA BLVD",
"address_2": "SUITE 312",
"city": "ENCINO",
"state": "CA",
"postal_code": "914361914",
"telephone_number": "818-380-9191",
"fax_number": "818-380-9190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEJAD",
"first_name": "MOHAMMAD REZA",
"middle_name": "KALANTARI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2009-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "A48313",
"primary": true
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "CA",
"license": "A48313",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RAY",
"last_name": "NEJAD (NEZHAD)",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}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 May 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.