NPIMap

Individual provider Active NPI

John P Fang, M.D.

  • Ophthalmology Physician
  • Ventura, CA
National Provider Identifier
1467461574
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C54802 Issued in CA
Practice address
3085 Loma Vista Rd
Ventura, CA 93003-2916
Phone
(805) 648-3085
Fax
(805) 648-7027
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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 C54802 CA Primary

Addresses

Primary practice location

3085 Loma Vista Rd
Ventura, CA 93003-2916

Mailing address

3085 Loma Vista Rd
Ventura, CA 93003-2916
Phone (805) 648-3085

Other identifiers 2

IdentifierTypeStateIssuer
C54802OtherCACA MEDICAL LICENSE
200090320AMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address j.fang@direct.mesmg.com MIRAMAR EYE SPECIALISTS MEDICAL GROUP, INC

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
I20110908001790 CA Practitioner - Ophthalmology 6800890260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Vanderbilt University School of Medicine, 2001
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)

3085 Loma Vista Rd
Ventura, CA 93003-2916
Phone (805) 648-3085

Hospital & facility affiliations

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 surgery99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54802CAMDDentist
C54802CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miramar Eye Specialists Medical Group, Inc Ophthalmology CurrentSince Sep 1, 2011 Accepting new patients
Dean McGee Eye Institute Ophthalmology Past Accepting new patients
HCA Health Services of Oklahoma Inc Past Accepting new patients
Community Memorial Health System Past Accepting new patients
Comanche County Hospital Authority 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

2230 Lynn Rd
Thousand Oaks, CA 91360
Phone (805) 370-3137

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

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

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

Interoperability endpoints

  • Direct secure messaging: j.fang@direct.mesmg.com

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.

Hospital & facility affiliations 10

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1467461574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032916",
            "telephone_number": "805-648-3085",
            "fax_number": "805-648-7027"
        },
        {
            "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",
            "fax_number": "805-648-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANG",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C54802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDICAL LICENSE",
            "identifier": "C54802",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200090320A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "j.fang@direct.mesmg.com",
            "affiliation": "Y",
            "affiliationName": "MIRAMAR EYE SPECIALISTS MEDICAL GROUP, INC",
            "address_1": "3085 Loma Vista Rd",
            "city": "Ventura",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930032916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.