Individual provider Active NPI

Pouya Nachshon Dayani, M.D.

  • Ophthalmology Physician
  • Los Angeles, CA
National Provider Identifier
1336293406
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A109451 Issued in CA
Practice address
1245 Wilshire Blvd
380
Los Angeles, CA 90017-4810
Phone
(213) 483-8810
Fax
(213) 481-1503
NPI assigned
Jan 23, 2007
Last updated
Jun 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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 A109451 CA Primary

Addresses

Primary practice location

1245 Wilshire Blvd
380
Los Angeles, CA 90017-4810

Mailing address

1245 Wilshire Blvd Ste 380
Los Angeles, CA 90017-4886
Phone (213) 483-8810

Other practice location 1

3400 Lomita Blvd Ste 202
Torrance, CA 90505-4914
Phone (310) 891-1000

Other practice location 2

9001 Wilshire Blvd Ste 301
Beverly Hills, CA 90211-1841
Phone (310) 854-6201

Other practice location 3

12840 Riverside Dr Ste 333
North Hollywood, CA 91607-3386
Phone (818) 754-2090

Other practice location 4

5525 Etiwanda Ave Ste 112
Tarzana, CA 91356-6115
Phone (818) 578-7408

Other identifiers 2

IdentifierTypeStateIssuer
W3452OtherCAMEDICARE PTAN
1336293406OtherCANPI

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
I20100201000475 CA Practitioner - Ophthalmology 1153412788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northwestern University Feinberg Medical School, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Retina Vitreous Associates Medical GroupGroup PAC ID 5799769584, 17 clinicians

Practice addresses (Care Compare)

1245 Wilshire Blvd
Suite 380
Los Angeles, CA 90017-4886
Phone (213) 483-8810

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
94
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A109451CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina-Vitreous Associates Medical Group PC Ophthalmology CurrentSince Dec 14, 2009 Accepting new patients
Dignity Community Care Past Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients
White Memorial Medical Center Past Accepting new patients
Dan K Sakamoto M D Medical Corp Ophthalmology Past Accepting new patients
Starling Oncology Ca, a Professional Corporation Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Duke University Health System, Inc. Past Accepting new patients

Locations

8641 Wilshire Blvd
Ste 210
Beverly Hills, CA 90211
Phone (310) 854-6201

9001 Wilshire Blvd
Ste 301
Beverly Hills, CA 90211
Phone (310) 659-3337

16661 Ventura Blvd
Ph 900
Encino, CA 91436
Phone (818) 578-7408

1510 S Central Ave
Ste 230
Glendale, CA 91204
Phone (818) 548-1635

1127 Wilshire Blvd
Ste 1620
Los Angeles, CA 90017
Phone (213) 423-7200

1245 Wilshire Blvd
Ste 380
Los Angeles, CA 90017
Phone (213) 483-8810

File 51006
Los Angeles, CA 90074

12840 Riverside Dr
Ste 333
North Hollywood, CA 91607
Phone (818) 754-2090

301 S Fair Oaks Ave
Ste 301
Pasadena, CA 91105
Phone (626) 714-7347

301 S Fair Oaks Ave
Ste 407
Pasadena, CA 91105
Phone (626) 204-1410

12840 Riverside Dr
Ste 402
Studio City, CA 91607
Phone (323) 661-7661

5525 Etiwanda Ave
Ste 112
Tarzana, CA 91356
Phone (818) 578-7408

3400 Lomita Blvd
Ste 202
Torrance, CA 90505
Phone (310) 539-7474

3440 Lomita Blvd
Ste 327
Torrance, CA 90505
Phone (310) 891-1000

23501 Cinema Dr
Ste 109
Valencia, CA 91355
Phone (661) 253-2939

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1336293406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD STE 380",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174886",
            "telephone_number": "213-483-8810",
            "fax_number": "213-481-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD",
            "address_2": "380",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174810",
            "telephone_number": "213-483-8810",
            "fax_number": "213-481-1503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Lomita Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905054914",
            "country_code": "US",
            "telephone_number": "310-891-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9001 Wilshire Blvd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902111841",
            "country_code": "US",
            "telephone_number": "310-854-6201",
            "fax_number": "213-975-9118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12840 Riverside Dr Ste 333",
            "address_purpose": "LOCATION",
            "city": "North Hollywood",
            "state": "CA",
            "postal_code": "916073386",
            "country_code": "US",
            "telephone_number": "818-754-2090",
            "fax_number": "213-975-9118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5525 Etiwanda Ave Ste 112",
            "address_purpose": "LOCATION",
            "city": "Tarzana",
            "state": "CA",
            "postal_code": "913566115",
            "country_code": "US",
            "telephone_number": "818-578-7408",
            "fax_number": "213-975-9118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAYANI",
        "first_name": "POUYA",
        "middle_name": "NACHSHON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A109451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W3452",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1336293406",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.