Active NPI
Majid Roubach, M.D.
- Pediatric Ophthalmology and Strabismus Specialist Physician
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Ophthalmology and Strabismus Specialist Physician
- License
- FR7717501
- Practice address
- 1899 W March LN
Stockton, CA 95207 - Phone
- (209) 623-4700
- Fax
- (209) 623-4710
- NPI assigned
- Jun 11, 2015
- Last updated
- Nov 2, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 125067106 | IL | |
| Pediatric Ophthalmology and Strabismus Specialist Physician | 207WX0110X | FR7717501 | CA | Primary |
| Ophthalmology Physician | 207W00000X | FR7717501 | CA |
Addresses
Primary practice location
1899 W March LN
Stockton, CA 95207
Mailing address
1899 W March LN
Stockton, CA 95207-6402
Phone (209) 623-4700
Other practice location 1
1740 W Taylor St
Chicago, IL 60612-7232
Phone (866) 600-2273
Other names 1
- Majid Rouhbakhshzaeri
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1899 W March LN
Stockton, CA 95207-6402
Phone (209) 623-4700
653 Camino de Los Mares
Suite 103
San Clemente, CA 92673-2808
Phone (949) 489-2218
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.32 of 100
- Quality
- 86.51
- Improvement activities
- 40
- Cost
- 79.05
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 89 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125067106 | IL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Sight of Stockton a Medical Corporation | Current | Accepting new patients | |
| Center for Sight of Stockton a Medical Corporation | Ophthalmology | Current | Accepting new patients |
| San Joaquin Faculty Medical Group | Current | Accepting new patients | |
| Center for Sight of Stockton a Medical Corporation | Current | Accepting new patients | |
| County of San Joaquin | Current | Accepting new patients | |
| County of San Joaquin | Current | Accepting new patients | |
| Doctors Medical Center of Modesto, Inc. | Past | Accepting new patients | |
| Pasadena Hospital Association, LTD. | Past | Accepting new patients | |
| Jan S Lukac MD Inc | Ophthalmology | Past | Accepting new patients |
| Ramin Tayani MD Inc | Ophthalmology | Past | Accepting new patients |
| Vision Center LP | Past | Accepting new patients | |
| Port City Operating Company, LLC | Past | Accepting new patients |
Locations
500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000
1144 Norman Dr
Ste 102
Manteca, CA 95336
Phone (209) 823-1152
1208 Floyd Ave
Bldg D
Modesto, CA 95350
Phone 2096234700 ext. 118
1899 W March Ln
Stockton, CA 95207
Phone (209) 623-4700
1805 N California St
Ste 101
Stockton, CA 95204
Phone (209) 948-3241
612 W 11th St
Ste 103
Tracy, CA 95376
Phone (209) 836-4800
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- mroubach17629@hpmg.direct-ci.net
Organizations & group practices 12
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.
-
- Specialist
- Modesto, CA
- NPI 1962426643
-
dba Tayani Eye Institute
- Ophthalmology Physician
- San Clemente, CA
- NPI 1841465986
-
dba San Joaquin General Hospital
- General Acute Care Hospital
- French Camp, CA
- NPI 1801830583
-
- Internal Medicine Physician
- French Camp, CA
- NPI 1225063761
-
- Specialist
- Tracy, CA
- NPI 1114941796
-
- Specialist
- Stockton, CA
- NPI 1326062084
Ophthalmology
-
dba San Joaquin County Clinic Manteca
- Multi-Specialty Clinic/Center
- Manteca, CA
- NPI 1417407636
-
dba Doctors Medical Center of Modesto
- General Acute Care Hospital
- Modesto, CA
- NPI 1184654923
-
- Ophthalmology Physician
- Brea, CA
- NPI 1619964038
-
dba Huntington Hospital
- Psychiatric Hospital Unit
- Pasadena, CA
- NPI 1437121142
-
dba St. Joseph's Medical Center of Stockton
- General Acute Care Hospital
- Stockton, CA
- NPI 1528190931
-
- Primary Care Clinic/Center
- Santa Ana, CA
- NPI 1942503933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604275200000",
"number": "1639550130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1899 W MARCH LN",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952076402",
"telephone_number": "209-623-4700",
"fax_number": "209-623-4710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1899 W MARCH LN",
"city": "STOCKTON",
"state": "CA",
"postal_code": "95207",
"telephone_number": "209-623-4700",
"fax_number": "209-623-4710"
}
],
"practiceLocations": [
{
"address_1": "1740 W Taylor St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606127232",
"country_code": "US",
"telephone_number": "866-600-2273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROUBACH",
"first_name": "MAJID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-11",
"last_updated": "2020-11-02",
"certification_date": "2020-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": "125067106",
"primary": false
},
{
"code": "207WX0110X",
"taxonomy_group": "",
"desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
"state": "CA",
"license": "FR7717501",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "FR7717501",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAJID",
"last_name": "ROUHBAKHSHZAERI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.