Individual provider Active NPI

Efraim Duzman, M.D.

  • Ophthalmology Physician
  • Irvine, CA
National Provider Identifier
1598780322
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A38972 Issued in CA
Practice address
4605 Barranca Parkway #
Suite# 100
Irvine, CA 92604
Phone
(949) 733-2002
Fax
(949) 733-1854
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 A38972 CA Primary

Addresses

Primary practice location

4605 Barranca Parkway #
Suite# 100
Irvine, CA 92604

Mailing address

4605 Barranca Parkway #
Suite# 100
Irvine, CA 92604
Phone (949) 733-2002

Other identifiers 4

IdentifierTypeStateIssuer
00A389720MedicaidCA
00A389720OtherCABLUE SHEILD ID
A38972OtherCASTATE LIC
A38972OtherCABLUE CROSS ID

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
I20110721000879 CA Practitioner - Ophthalmology 7012104136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Efraim Duzman MD IncGroup PAC ID 0941497069, 2 clinicians

Practice addresses (Care Compare)

4605 Barranca Pkwy
Irvine, CA 92604-1726
Phone (949) 733-2002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38972CAMDDentist
A38972CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hoag Memorial Hospital Presbyterian PastSince Dec 9, 2010 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1598780322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 BARRANCA PARKWAY #",
            "address_2": "SUITE# 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92604",
            "telephone_number": "949-733-2002",
            "fax_number": "949-733-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 BARRANCA PARKWAY #",
            "address_2": "SUITE# 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92604",
            "telephone_number": "949-733-2002",
            "fax_number": "949-733-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUZMAN",
        "first_name": "EFRAIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A38972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A389720",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHEILD ID",
            "identifier": "00A389720",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC",
            "identifier": "A38972",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID",
            "identifier": "A38972",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.