Individual provider Active NPI

Majid Roubach, M.D.

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Stockton, CA
National Provider Identifier
1639550130
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
License
FR7717501 Issued in CA
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
I20190109000986 CA Practitioner - Ophthalmology 3870893829 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ramin Tayani MD IncGroup PAC ID 3274541826, 15 clinicians

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 100Reported as group
Quality
86.51
Improvement activities
40
Cost
79.05

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125067106ILMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Sight of Stockton a Medical Corporation CurrentSince Oct 6, 2018 Accepting new patients
Center for Sight of Stockton a Medical Corporation Ophthalmology CurrentSince Oct 6, 2018 Accepting new patients
San Joaquin Faculty Medical Group CurrentSince Dec 26, 2023 Accepting new patients
Center for Sight of Stockton a Medical Corporation Current Accepting new patients
County of San Joaquin CurrentSince Dec 26, 2023 Accepting new patients
County of San Joaquin CurrentSince Dec 26, 2023 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 PastSince Apr 1, 2022 Accepting new patients
Vision Center LP PastSince Mar 14, 2017 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.