Individual provider Active NPI

Vladislav Bekerman, MD

  • Ophthalmology Physician
  • Ventura, CA
National Provider Identifier
1285138362
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A177459 Issued in CA
Practice address
3085 Loma Vista Rd
Ventura, CA 93003-2916
Phone
(805) 648-3085
NPI assigned
Mar 22, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A177459 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3085 Loma Vista Rd
Ventura, CA 93003-2916

Mailing address

1835 Arch St Apt 1410
Philadelphia, PA 19103-2784
Phone (818) 648-7505

Other practice location 1

One Medical Center Boulevard
Department of Medicine
Upland, PA 19013
Phone (610) 447-6370

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
I20220624002674 CA Practitioner - Ophthalmology 8820477631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Drexel University College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miramar Eye Specialists Medical Group IncGroup PAC ID 5698662823, 26 clinicians

Practice addresses (Care Compare)

2045 Royal Ave
Suite 234
Simi Valley, CA 93065-4600
Phone (805) 527-1417

Merit-based Incentive Payment System (MIPS)

Final score
88.24 of 100Reported as group
Quality
86.17
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery225

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A177459CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Care of Simi a Professional Medical Corporation CurrentSince Jun 1, 2022 Accepting new patients
Miramar Eye Specialists Medical Group, Inc Ophthalmology CurrentSince Jun 1, 2022 Accepting new patients
County of Ventura Past Accepting new patients

Locations

751 E Daily Dr
Ste 110
Camarillo, CA 93010
Phone (805) 987-8705

771 E Daily Dr
Ste 245
Camarillo, CA 93010
Phone (805) 322-1510

1901 Solar Dr
Ste 155
Oxnard, CA 93036
Phone (805) 278-0057

957 Faulkner Rd
Ste 102
Santa Paula, CA 93060
Phone (805) 525-1737

2045 Royal Ave
Ste 234
Simi Valley, CA 93065
Phone (805) 527-1417

2230 Lynn Rd
Ste 102
Thousand Oaks, CA 91360
Phone (805) 495-0458

2230 Lynn Rd
Ste 104
Thousand Oaks, CA 91360
Phone (805) 495-0458

3085 Loma Vista Rd
Ventura, CA 93003
Phone (805) 583-3950

3003 Loma Vista Rd
Ste E
Ventura, CA 93003
Phone (805) 648-3085

3003 Loma Vista Rd
Ste A
Ventura, CA 93003
Phone (805) 648-3081

1220 La Venta Dr
Ste 203
Westlake Vlg, CA 91361
Phone (805) 497-8100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1285138362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 ARCH ST APT 1410",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191032784",
            "telephone_number": "818-648-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032916",
            "telephone_number": "805-648-3085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "One Medical Center Boulevard",
            "address_2": "Department of Medicine",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "PA",
            "postal_code": "19013",
            "country_code": "US",
            "telephone_number": "610-447-6370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEKERMAN",
        "first_name": "VLADISLAV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-22",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A177459",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.