Individual provider Active NPI

Babak Shabatian, M.D.

  • Ophthalmology Physician
  • Torrance, CA
National Provider Identifier
1285675629
Registry record updated Dec 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A89467 Issued in CA
Practice address
19000 Hawthorne Blvd Ste 100
Torrance, CA 90503-1517
Phone
(310) 909-8880
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 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 240037-1 NY
Ophthalmology Physician 207W00000X A89467 CA Primary

Addresses

Primary practice location

19000 Hawthorne Blvd Ste 100
Torrance, CA 90503-1517

Mailing address

19000 Hawthorne Blvd Ste 100
Torrance, CA 90503-1517
Phone (310) 909-8880

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
I20080610000625 CA Practitioner - Ophthalmology 6709956279 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Boston University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ventura Institute of Ophthalmology IncGroup PAC ID 5799040788, 4 clinicians

Practice addresses (Care Compare)

1280 S Victoria Ave
Suite 160
Ventura, CA 93003-6504
Phone (805) 658-3937

1739 W Ave J
Lancaster, CA 93534-2703
Phone (661) 940-0555

17609 Ventura Blvd
Suite 203
Encino, CA 91316-5121
Phone (844) 673-2600

18425 Burbank Blvd
Suite 611
Tarzana, CA 91356-6919
Phone (310) 909-8880

19000 Hawthorne Blvd
Suite 100
Torrance, CA 90503-1517
Phone (310) 909-8880

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery407

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A89467CAMDOphthalmology Physician
240037-1NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Viva Med Center PC CurrentSince Dec 19, 2023 Accepting new patients
Kern Radiology Medical Group, Inc Past Accepting new patients
Lancaster Surgery Center LLC Past Accepting new patients

Locations

17609 Ventura Blvd
Ste 203
Encino, CA 91316
Phone (844) 673-2600

250 E Yale Loop
Ste E
Irvine, CA 92604
Phone (323) 698-2749

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670112000000",
    "number": "1285675629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19000 HAWTHORNE BLVD STE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905031517",
            "telephone_number": "310-909-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19000 HAWTHORNE BLVD STE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905031517",
            "telephone_number": "310-909-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABATIAN",
        "first_name": "BABAK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2022-12-04",
        "certification_date": "2022-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "240037-1",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A89467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.