Individual provider Active NPI

Abraham Ebbie Soroudi, MD, MS

  • Ophthalmology Physician
  • Beverly Hills, CA
National Provider Identifier
1326092529
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A75978 Issued in CA
Practice address
8900 Wilshire Blvd
Ste 300
Beverly Hills, CA 90211
Phone
(310) 474-2010
Fax
(310) 474-2009
NPI assigned
May 20, 2006
Last updated
Feb 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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 A75978 CA Primary

Addresses

Primary practice location

8900 Wilshire Blvd
Ste 300
Beverly Hills, CA 90211

Mailing address

8900 Wilshire Blvd
Ste 300
Beverly Hills, CA 90211
Phone (310) 474-2010

Other practice location 1

7305 Pacific Blvd
3rd Floor
Huntington Park, CA 90255-5736
Phone (323) 587-7000

Other practice location 2

1100 E Broadway Ste 200
Glendale, CA 91205-1384
Phone (310) 474-2010

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
I20050907000781 CA Practitioner - Ophthalmology 3375575616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8900 Wilshire Blvd
Suite 300
Beverly Hills, CA 90211-1959
Phone (323) 587-7000

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery658

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A75978CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A. Ebbie Soroudi, MD, Ms a Professional Medical Corporation Ophthalmology CurrentSince Aug 1, 2005 Accepting new patients
A Ebbie Soroudi, MD, Ms, Apmc Ophthalmology Past Accepting new patients
Broadway Laser Surgical Institute, Inc. PastSince Feb 13, 2018 Accepting new patients
St Lucia Eye Center Medical Corp Ophthalmology PastSince May 22, 2015 Accepting new patients
Southern California Surgery Center, Inc PastSince Feb 1, 2008 Accepting new patients
Westwood Eye Surgical Institute, Inc. PastSince Dec 1, 2009 Accepting new patients
Dr Delfa Zaker Farley OD Inc PastSince Mar 13, 2022 Accepting new patients

Locations

8900 Wilshire Blvd
Ste 300
Beverly Hills, CA 90211
Phone (310) 273-8002

1100 E Broadway
Ste 200
Glendale, CA 91205
Phone (310) 474-2010

2621 Zoe Ave
Fl 1
Huntington Park, CA 90255
Phone (323) 587-7000

7305 Pacific Blvd
Fl 3
Huntington Park, CA 90255
Phone (310) 770-7836

10884 Santa Monica Blvd
Fl 2
Los Angeles, CA 90025
Phone (310) 474-2010

4340 Von Karman Ave
Ste 230
Newport Beach, CA 92660
Phone (310) 474-2010

Organizations & group practices 7

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1326092529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 WILSHIRE BLVD",
            "address_2": "STE 300",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90211",
            "telephone_number": "310-474-2010",
            "fax_number": "310-474-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 WILSHIRE BLVD",
            "address_2": "STE 300",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90211",
            "telephone_number": "310-474-2010",
            "fax_number": "310-474-2009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7305 Pacific Blvd",
            "address_2": "3rd Floor",
            "address_purpose": "LOCATION",
            "city": "Huntington Park",
            "state": "CA",
            "postal_code": "902555736",
            "country_code": "US",
            "telephone_number": "323-587-7000",
            "fax_number": "323-587-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 E Broadway Ste 200",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912051384",
            "country_code": "US",
            "telephone_number": "310-474-2010",
            "fax_number": "310-474-2009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOROUDI",
        "first_name": "ABRAHAM",
        "middle_name": "EBBIE",
        "name_prefix": "Mr.",
        "credential": "MD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A75978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.