Active NPI
George M. Rajacich, M.D., Inc.
Doing business as Valley Eye Center Surgical Med Grp
- Ophthalmology Physician
- Van Nuys, CA
National Provider Identifier
1659378313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- GEORGE M. RAJACICH, M.D., INC.
- Doing business as
- Valley Eye Center Surgical Med Grp
- Practice address
- 14624 Sherman Way Ste 508
Van Nuys, CA 91405-2289 - Phone
- (818) 787-2020
- Fax
- (818) 787-8652
- NPI assigned
- Jul 7, 2005
- Last updated
- Jun 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward Chung
- Title
- Administrator
- Phone
- (818) 275-0009
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | CA | ||
| Ophthalmology Physician | 207W00000X | CA | Primary |
Addresses
Primary practice location
14624 Sherman Way Ste 508
Van Nuys, CA 91405-2289
Mailing address
14624 Sherman Way Ste 508
Van Nuys, CA 91405-2289
Phone (818) 787-2020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0063313 | Medicaid | CA | |
| ZZZ91696Z | Other | CA | BLUE SHIELD |
Other names 1
- Valley Eye Center Surgical Med Grp
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
14624 Sherman Way
Ste 508
Van Nuys, CA 91405
Phone (818) 908-4999
14914 Sherman Way
Van Nuys, CA 91405
Phone (818) 787-2020
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Pasadena, CA
- NPI 1770748758
-
- Ophthalmology Physician
- Van Nuys, CA
- NPI 1962407593
-
- Ophthalmology Physician
- Pasadena, CA
- NPI 1538144829
-
- Ophthalmology Physician
- Van Nuys, CA
- NPI 1205832474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782086400000",
"number": "1659378313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14624 SHERMAN WAY STE 508",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914052289",
"telephone_number": "818-787-2020",
"fax_number": "818-787-8652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14624 SHERMAN WAY STE 508",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914052289",
"telephone_number": "818-787-2020",
"fax_number": "818-787-8652"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGE M. RAJACICH, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-07",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A",
"authorized_official_last_name": "CHUNG",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "818-275-0009"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0063313",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ91696Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Valley Eye Center Surgical Med Grp",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Valley Eye Center Surgical Med Grp",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Van Nuys, CA
- Genuine Home Health Services, Inc.
- Genuine Hospice Care Inc (Genuine Hospice Services)
- Genuine Hospice Services, Inc.
- George Delshad MD a Professional Corporation
- George M Rajacich MD Inc (Valley Eye Center)
- Lisa Rene Gerard, M.S., LMFT
- Geriatric Evaluation & Neuropsychological Services, Inc
- Destiny Rose Gernertt
- Heaven Gershon, RBT
- Dahlia Baylon Gestopa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.