NPIMap

Individual provider Active NPI

Ryan Taban, M.D.

  • Ophthalmology Physician
  • Garden Grove, CA
National Provider Identifier
1235253196
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A99816 Issued in CA
Practice address
12665 Garden Grove Blvd
Suite 401
Garden Grove, CA 92843-1901
Phone
(714) 534-8373
Fax
(714) 534-8759
NPI assigned
Mar 18, 2007
Last updated
Mar 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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 A99816 CA Primary

Addresses

Primary practice location

12665 Garden Grove Blvd
Suite 401
Garden Grove, CA 92843-1901

Mailing address

12665 Garden Grove Blvd
Suite 401
Garden Grove, CA 92843-1901
Phone (714) 534-8373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071001000643 CA Practitioner - Ophthalmology 0749375194 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Saint Louis University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12665 Garden Grove Blvd
Suite 401
Garden Grove, CA 92843-1918
Phone (714) 534-8373

Merit-based Incentive Payment System (MIPS)

Final score
99.31 of 100Reported as group
Quality
98.94
Promoting interoperability
93
Improvement activities
40
Cost
75.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery52

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
California Cataract Center & Medical Group Inc CurrentSince Sep 3, 2013 Accepting new patients
Orange County Ophthalmology Medical Group Ophthalmology CurrentSince Mar 20, 2015 Accepting new patients
Peninsula Eyecare Medical Associates Ophthalmology Past Accepting new patients
Dignity Community Care Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Torrance Memorial Medical Center Ophthalmology Past Accepting new patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients
Providence Facey Medical Foundation Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

12665 Garden Grove Blvd
Garden Grove, CA 92843
Phone (714) 537-5302

12665 Garden Grove Blvd
Ste 401
Garden Grove, CA 92843
Phone (714) 534-8373

2390 E Florida Ave
Ste 207
Hemet, CA 92544
Phone (951) 652-6100

29826 Haun Rd
Ste 100
Sun City, CA 92586
Phone (951) 301-8888

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1235253196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12665 GARDEN GROVE BLVD",
            "address_2": "SUITE 401",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431901",
            "telephone_number": "714-534-8373",
            "fax_number": "714-534-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12665 GARDEN GROVE BLVD",
            "address_2": "SUITE 401",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431901",
            "telephone_number": "714-534-8373",
            "fax_number": "714-534-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABAN",
        "first_name": "RYAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-18",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A99816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.