Irina Ganelis, M.D., P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

IRINA GANELIS, M.D., P.C.

Practice address

16661 Ventura Blvd
Suite 523
Encino, CA 91436-1914

Phone

(818) 394-0003

Fax

(206) 350-1012

NPI assigned

Aug 16, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Irina Bykhovskaya Ganelis, M.D.NPI 1649414400

Title

President

Phone

(310) 773-3396

Specialties & licenses 1

Addresses

Other names 1

• Los Angeles Eye Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Irina B Ganelis, MD

  • Ophthalmology Physician
  • Encino, CA
  • NPI 1649414400
  Medicare reassignment Authorized official
• Diana Katsman, MD

  • Ophthalmology Physician
  • Torrance, CA
  • NPI 1306003132
  Medicare reassignment

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338508800000",
    "number": "1609155084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9663 SANTA MONICA BLVD # 396",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104303",
            "telephone_number": "310-773-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD",
            "address_2": "SUITE 523",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361914",
            "telephone_number": "818-394-0003",
            "fax_number": "206-350-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRINA GANELIS, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2012-06-01",
        "status": "A",
        "authorized_official_last_name": "GANELIS",
        "authorized_official_first_name": "IRINA",
        "authorized_official_middle_name": "BYKHOVSKAYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-773-3396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Angeles Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Irena Starchenko DDS, Inc
• Ann K Irmas, LMFT
• Isaac Kahen Kashani DDS a Professional Dental Corporation
• Mariah Rose Isaac
• Brian Daichi Ishiba
• Zahava Israely

• Ophthalmology Physician in Encino, CA
• Providers in Encino, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.