Organization 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
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X CA
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
GR0063313MedicaidCA
ZZZ91696ZOtherCABLUE SHIELD

Other names 1

  • Valley Eye Center Surgical Med Grp Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031121000902 CA Part B Supplier - Clinic/Group Practice 1658275599 Receives reassigned benefits from 3 practitioners
Practice locations: Van Nuys, CA

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.